Abstracts Shalkya Sandipani

ŚĀLĀKYA SANDĪPANĪ 2017 | SRI LANKA ABSTRACTS
Oral Presentations
GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 41

42 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Utility of Dhooma preparations in the treatment of Nāsa Roga in indigenous medicine in

Sri Lanka
Pathirana KPMP, Jayasinghe JMPRK

Department of Dravyaguna, Gampaha Wickramarachchi Ayurvedic Institute, University of Kelaniya, Yakkala
Abstract
There are medicinal preparations used as Dhooma in the treatment of Nāsa Roga according to
classical texts. The aim of this study was to analyze the availability of herbal and mineral
ingredients used to prepare Dhooma and to evaluate their usages for Nāsa Roga. This was a
literature based study and the primary data were collected through indigenous classical texts
such as Sārārtha Sangraha, Yogārnava, Yogarathnākara, Varayogasāra, Sārasankshepa and
Bhaisajamanjusha. Collected data were comparatively analyzed and demonstrated to identify
the availability of different types of ingredients and commonest ingredients in selected
formulas. According to data, 16 Dhooma formulas were identified. 07 formulas have been
mentioned in Sārartha Sangraha, 05 in Yogarathnakara, 03 in Yogārnava and 01 in
Varayogasāra. These formulas are used as Choorna, Pottali and Veti preparations. 13 formulas
are Choornas. 48 ingredients were identified for Dhooma. Inguru, Gammiris, Tippili,
Walangasahal, Gugul, Perunkayam, Wadakaha, Kaluduru, Sudulunu, Manosheela, Hingula,
Gendagam and Sīnakkaram are the commonest ingredients found in these formulas. These
preparations can be categorized according to different types of Nāsa Roga. 06 preparations are
used for Prathishya, 05 for Pinasa and 02 for Nāsa Srāwa; Puyarakkta, Kshawathu, Bransha,
Deepthanasikya 01 for each. Considering the Panchapadārtha of mostly used ingredients,
100% of dravya contain Katurasa and 61% contain Tiktarasa. Katu and Tikta perform
Vatavruddhi and Kaphakshaya. The properties are 92% Laghu and 69% Tikshna. Laghu
increases Vāta, reduces the thickness of Kapha. Tikshna helps in excreting vitiated Kapha.
Ushna Veerya contains 92% of ingredients that help in Vātānulomana and Kaphanissarana. It
also helps in reducing the thickness of Kapha. 84% of ingredients contain Katuvipaka and helps
in increasing Vāta. According to the available data, Rasa, Guna, Veerya, Vipaka of the
ingredients used in Dhooma help to reduce the thickness of vitiated Kapha and they are
excreted by the increased Vātadosha.
Keywords: Dhooma, indications, preparations

Corresponding E-mail: maheshika123456@gmail.com

A pilot study based on role of herbal preparation in the management of Oral

Precancerous Lesions
Shukla V1, Dave H2

1
Vital Care Dental Clinics-Kutch, Gujarat
2
Department of Shalakayatantra, J.S. Ayurvedic College, Nadiad- Gujarat
Abstract
Oral sub-mucus Fibrosis is an insidious chronic disease affecting any part of the oral cavity
and sometimes pharynx. It is occasionally preceded and or associated with vesicle formation.
Tobacco Pouch Keratosis is white plaque like lesion present in the mucosa where chewing
tobacco is kept. Prevalence of oral cancer in India varies from 0.03 and 3.2%. It is the 6th most
common cancer in the world which accounts for 350000 new cases and 128000 deaths
annually. The aim of this study was to identify the effects of herbal preparation in the
management of Precancerous conditions. The study was carried out in private clinics as a pilot
study. The patient’s detailed history, age, sex, body weight and medical history, including the
details of tobacco habit history were collected. Herbal preparation of 5gms Ocimum
tenuiflorum, 3 gms Curcumin longa, 3gms Aloe, 5gms Gomutra were combined in a topical
base. It revealed that herbal application along with quitting of habit and lifestyle modification
is a safe and efficacious remedy in the management of Oral Precancerous Lesions. The
treatment resulted in improvement in mouth-opening and decrease in burning sensation of the
oral mucosa. This is safer, cost effective and conventional treatment modality.
Keywords: Herbal preparation, Precancerous lesion.

Corresponding Email: shuklavidhi427@gmail.com

Clinical study on the effect of Nasya and Anjana Karma in the management of Kācha
with special reference to Immature Senile Cataract
Surangi KG, Shamsa Fiaz

Postgraduate Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan (302002), India
Abstract
Shalakya Tantra deals with diseases occurring above the clavicle, especially in the sensory
organs. The disorders which cause partial or complete visual disturbances are known as
Drishtigata Roga. According to Vagbhata, the third Patalagata Timira is known as Kācha
which is characterized by gradual loss of vision and Rāgaprāpta Drishti. In cataract, the
crystalline lens become colored due to opacifications and the main feature of immature cataract
is gradual diminision of vision. Hence the third Patalagata Timira can be correlated with the
Immature Senile Cataract. Cataract is the world’s leading cause of blindness affecting an
estimated 20 million people which is expected to increase to 50 million by the year 2020.
Current study was carried out with the aim of evaluating the role of Navapatala Varti Anjana,
Śatāvaryādi Chūrņa and Śrińgaverādi Nasya in the management of Kācha. A trial was
conducted with 30 patients attending the Shalakya Department of NIA, Jaipur as per the
exclusion and inclusion criteria. Assessments were done before (BT) and after (AT) completion
of treatment and after the follow up period using SPSS 2016. Perturbed vision, blurred distant
vision and eye straining achieved highly significant results and significant results in blurred
near vision, diplopia. Statistically highly significant results were found in Posterior
Subcapsular (PSC) and nuclear types of cataracts and statistically significant results in cortical
type as compared to BT Vs. AT while PSC achieved highly significant results and other two
types found statistically significant results as compared to AT Vs. after the follow up period.
Hence immature cataract can be successfully and sustainably managed by the selected
medicines.
Keywords: Navapatala Varti Anjana, Śatāvaryādi Chūrņa, Śrńgaverādi Nasya

Corresponding E-mail: surangikg@gmail.com

Effect of Ayurvedic medicines in the management of Vartma Sharkara with special

reference to conjunctival concretions
Surangi KG, Shamsa Fiaz

Postgraduate Department of Shalakya Tantra, National Institute of Ayurveda, Jaipur, Rajasthan (302002), India
Abstract
Vartma Sharkara is one of the Sannipataja Vartmagata Roga and is a curable disease by
Lekhana Karma (scraping procedures). It can be correlated with “conjunctival concretion”
which is a degenerative condition of the conjunctiva. Treatments are not essential if it is
asymptomatic but if it gives symptoms, concretions should be removed by hypodermic needle
which causes conjunctival damages and sometimes conjunctival inflammation. Thus this study
was designed to develop a successful, safe and sustainable line of treatment in the management
of conjunctival concretion according to the principles of Ayurveda. The study was carried out
as case studies with 10 patients at the eye OPD of NIA, Jaipur as per the exclusion and inclusion
criteria. All the assessments were done with self-designed scoring system as before treatment,
after treatment and after the follow up period. The line of treatment was mainly focused on
Shodhana, Lekhana and Santarpana type of medicines. Hence Samudraphena Varti
Pratisarana and Anjana, Thriphaladi Netra Parisheka and Ashwagandha–Shatavari powders
were selected. The duration of trial depended upon the severity of the disease. The uniqueness
of this therapy was that conjunctival concretion can be removed without causing any damage
to the conjunctiva and without antibiotics being given. The number of times of Pratisarana
depended on the severity of the disease. Those which were at the level of conjunctiva were
managed by using Samudraphena Varti Anjana. Rasayana property was helpful for preventing
recurrence. It can be concluded that Vartma Sharkara or conjunctival concretion can be
successfully managed with Ayurvedic treatments without any adverse effects.
Keywords: Vartma Sharkara, conjunctival concretions, Pratisarana

Corresponding E-mail: surangikg@gmail.com

Clinical efficacy of Haridradi Ashcyotana (herbal eye drop) in the management of

Abhishyanda with special reference to bacterial conjunctivitis
De Silva LDR1, Peiris A2, Kamal SV1

1
Department of Shalya Shalakya, Institute of Indigenous Medicine, Rajagiriya, University of Colombo,
Rajagiriya, Sri Lanka.
2
Vasan Eye Care Hospital, Colombo 03, Sri Lanka.
Abstract
Abhishyanda is an inflammatory condition of the eye where Pittaja, Kaphaja and Raktaja
Abhishyanda are compared with bacterial conjunctivitis. Bacterial conjunctivitis is a common
presentation in general practice which can account for over 60% of all conjunctivitis cases and
unsuccessful treatment may lead to many adverse effects. The present study was conducted to
study the efficacy of Haridrādi Ashcyotana with its anti-inflammatory and antibacterial
potentials in the management of Abhishyanda with special reference to bacterial conjunctivitis.
The study was conducted in the OPD of Ayurveda Teaching Hospital, Borella. Consecutive
convenience sampling method was applied to register the study population of 20 patients of
either sex, aged between 10 – 70 years with signs and symptoms of bacterial conjunctivitis.
Haridrādi Ashcyotana was instilled to the affected eye/s as two drops three times a day until
the clinical and microbial resolution with the follow up. Data analysis was analyzed using SPSS
16.0 by t-Test: Two-sample assuming equal variances. Level of significance was set at p<0.05.
Standardization of Haridrādi Ashcyotana was conducted to address the quality control
parameters and the safety profile. Haridrādi Ashcyotana was proved for the antibacterial
property against Staphylococcus aureus and Escherichia coli by conjunctival swab culture
analysis. Digital photography justified the absence of inflammatory spectra and thus proved
the anti-inflammatory effects. Haridrādi Ashcyotana revealed highly significant ‘p’ values
(p<0.001) with 100% remission of all inflammatory features as Netra srava (lacrimation),
Raktata (redness), Kandu (itching) and Upadeha (matting). Global efficacy / total mean days
for complete remission was 4.45. The side effects or drug related effects were not observed and
the tolerability was satisfactory. Haridrādi Ashcyotana was a safe, sterile, quick relieving and
effective poly herbal eye drop for all ages with its anti-inflammatory and anti-bacterial
potentials. Thus it can be concluded that Haridrādi Ashcyotana is effective in the management
of Abhishyanda with special reference to bacterial conjunctivitis which can be used in the
treatment of infectious eye diseases.
Keywords: Haridradi Ashcyotana, Abhishyanda, bacterial conjunctivitis

Corresponding e-mail: dimuthu.lect@gmail.com
Irsal e alaq (Hirudo therapy) on Maa e Aksar (glaucoma): a scientific review
Shifra ASF, Ayshah Fazeenah AH

1
Institute of Indigenous Medicine, University of Colombo, Sri Lanka
Abstract
Maa e aksar (glaucoma) is caused by either increased production or reduced absorption of

rutubat (fluid) which makes an accumulation inside the eye ball that produces tanao (tension)
and constructs the eyeball hard. It results in zoa’f e basar (weakness of vision) and maidan e
basarat (narrowing of visual field). This condition corresponds with glaucoma in allopathic
medicine and is defined as a group of conditions characterized by typical changes in the retinal
nerve fibers and optic nerve head resulting in reduced visual field, progressive and irreversible
vision loss. Its enormous social and economic impact can be acceptable by the fact that it
remains as the second leading cause of blindness globally, after cataracts. In 2013, the number
of people aged 40-80 years with glaucoma worldwide was estimated to be 64.3 million,
increasing to 76.0 million in 2020 and 111.8 million in 2040. Mostly, glaucoma is
asymptomatic; generally patients may have complaints like blurred vision, hardness to see in
dark, tearing, soreness / tiredness, pain in the affected eyes or frontal portion of the head, feeling
of something in the eye and observing the rainbow halos around the light. The treatment is in
contrast to nature and Mizaj (temperament) of the disease. Therefore, the elimination of the
root cause is the main treatment modality. Despite the use of numerous newer therapeutic
regimens, it has remained confronted because of waning of the sensitive part of the eye. The
holistic approach of Unani treatment will have a thriving management of diseases with
temperamental affiliation and its evidences were found throughout the history. Irsal e Alaq
(hirudo / leech therapy) which is one of the most important and widely practiced methods used
for local evacuation of morbid (invalidated and waste) matter with the use of medicinal leech,
has proven efficacy in Maa e aksar, but lacks scientific evidence for validation. The present
literary review was based on Unani classical texts, electronic databases of Google scholar,
PubMed and through web search. This review aims at highlighting the concept of glaucoma
with special reference to Maa e aksar and its management through Irsal e Alaq.
Keywords: Maa e aksar; hirudo therapy; Mizaj

Corresponding E-mail: fshifra0@gmail.com

A comparative study on the efficacy of Patoladi Lepa Pratisarana and Mustadi Taila
Gandusha in the management of Krimidanta (Dental Caries)
Kumaradharmasena LSP1, Peiris KPP2, Kamal SV3

1
District Ayurveda Hospital, Meerigama, Sri Lanka
2
Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
3
Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka
Abstract
According recent statistics, more than 50% of Sri Lankan and 36% of world population are
suffering from Krimidanta (Dental Caries). Dental Caries is a multi-factorial process that
affects on hard dental tissues such as enamel, dentin etc. Once it occurs, its manifestations
persist throughout life even though the lesion is treated. Therefore, an effective therapy is
required in the treatment of Krimidanta at its early stage, which is simple, safe and effective.
In this study, Patoladi Lepa and Mustadi Taila were used as research drugs which is prescribed
in Cakkradatta. A total sample of 60 patients were selected at Ayurvedic Teaching Hospital,
Borella and Gampaha Wickramarachchi Ayurveda Hospital, Yakkala. It was divided equally
into two groups by using simple random sampling method. Group A was treated with 2g of
Patoladi Lepa Pratisarana twice a day and Group B was prescribed 20ml of Mustadi Taila
Gandusha twice a day for 4 weeks. Both groups showed significant results in the improvement
of Dantashula, Shopha, Mukha Daurgandhyata, Danta Harsha, Animitta Ruja, Salivary pH
and OHI-S. Howwever, chalata was improved in Group B patients only. Improvement in
Krishnata was not observed in both the therapies. In the view of all the subjective and objective
criteria and recurrences of the clinical features, Mustadi Taila Gandusha has shown better
effectiveness than Patoladi Lepa Pratisarana. Therefore, these formulations can be used
together at the early stage of Krimidanta as a prophylactic measure.
Keywords: Patoladi Lepa, Mustadi Taila, Krimidanta

Corresponding E-mail: lkumaradharmasena@gmail.com

A comparative clinical study on the efficacy of oral Sarasvata Ghrita and Sarasvata
Ghrita Nasya in the management of Vataja Shirah Shoola (tension headache)
Senadheera T1, Samarakoon SMS2

1
Base Ayurveda Hospital, Meegoda
2
Department of Deshiyachikitsa, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka
Abstract
Acharya Charaka considered Shiro-ruk as a separate disease in eighty types of Nanatmaja

Vata-Vyadhi. He has mentioned five types of Shiroroga (05) including Vataja Shiroroga.
Considering the line of treatment, Caraka recommended specific ghee preparations for Vatika
Shiroroga. Vataja Shirah Shoola (VSS) can be correlated with tension headache which is the
most common type of headache. The prevalence of tension headache is about 3% of the general
population. The present study is a comparative clinical study on the efficacy of oral Sarasvata
Grita (SG) and Sarasvata Ghrita Nasya (SGN) on Vataja Shirah Shoola. Thirty patients (30)
were selected from the OPD of Ayurveda Hospital, Meegoda and were randomly divided into
two groups: group A and group B. Group A was treated with oral SG, 10 ml orally twice a day
before meals for a period of thirty (30) days while group B was treated with SGN at the dose
of 8 drops daily at 9.00 am after a light meal for same duration. Patients were evaluated before
and after treatment. Data were analyzed by using SPSS statistical software. The result revealed
that the 36 – 45 age group (76.7%), female (56.7%) and Vata-pitta prakriti (56%) are more
vulnerable to VSS. Oral SG improved subjective parameters and blood pressure in a highly
significant manner (p>0.001) whereas Oral SG improved bi-temporal headache and disturbed
sleep in a significant manner (p<0.05). Collectively, the ingredients of SG have tridosha
shamaka effect, especially Vata shamaka effect. Due to synergistic effect of SG, most of the
parameters have shown significant improvement. SGN improved subjective parameter in
significant manner (p<0.05) whereas the improvement of blood pressure is highly significant
(p<0.001). When comparing the effect of two treatments on VSS, it is reported that the
difference of mean of most of the subjective parameters between group A and B is highly
significant (p<0.001). Hence, it is concluded that oral Sarasvata Ghrita has higher degree of
efficacy on Vataja Shirahshoola over Sarasvata Ghrita Nasya.
Keywords: Sarasvata Ghrita, Nasya, Vataja Shirahshoola, tension headache

Corresponding E-mail: anupamalihini@gmail.com

A comparative study on the effects of Jalaukavacarana (leech application) and

Manjishtadi Lepa in the management of Vyanga (Melasma)
Jayathilake TASC1, Kamal SV2

1
Sethawaka U. C. Ayurveda, Hanwella
2
Department of Shalya Shalakya, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka
Abstract
Among the eight branches of Ayurveda, Salakya Tantra deals with the etiology, diagnosis,
prognosis, prevention and treatment of diseases that are located above the human clavicular
line. Pancakarma treatments are used in Shalakyatantra to cleanse vitiated Dosas located in
this region. Vyanga is one of the facial skin disorders. It affects by certain anomaly at any age
of the life with male female ratio of 1:9. Modern treatment includes an external application of
creams. But long term usage of these preparations may produce irritation in individuals. Hence
this study was carried out to find out a reliable and long lasting Ayurvedic management for
Vyanga. In this study, efficacy of Jalaukavacarana (leech therapy) on Vyanga was compared
with that of Manjishtadi Lepa application. Open randomized clinical trial of 50 individuals
were selected as total sample population. Individuals were divided into two groups (A and B).
Group (A) was treated with the application of leeches on the darkest point of patch, till leeches
fall down. This procedure was repeated once in a week with 6 applications. In group (B),
Manjishtadi Lepa was applied half Angula thickness on the lesion and kept until it gets dried.
The results were assessed by using the photographs of the patch and computer technology.
Total effect of therapy was observed as marked and moderate improvement in 84%
Jalaukavacarana of the individuals by group (A) and marked and moderate improvement was
68% application of individuals in lepa group(B). Reduction was statistically significant in the
level of p<0.05. The study suggests that Jalaukavacarana (leech therapy) and Manjishtadi
Lepa can be used in Vyanga. But Vyanga (Melasma) can more effectively be managed by
Jalaukavacarana than the application of Manjishtadi Lepa.
Keywords: Jalaukavacarana, Manjishtadi Lepa, Vyanga

Corresponding E-mail: sajeevajayathilake@yahoo.com

Clinical efficacy of Ayurvedic management in digital eye strain and visual fatigue
Sunita Vijay Magar

Shalakya Tantra Department, Mahatma Gandhi Ayurved College, Hospital and Research Centre (DMIMS) (D.U.)
Salod, WARDHA, (M.S.) (INDIA)
Abstract
With the advancement of in digital technology many individuals suffer from physical eye
discomfort, visual fatigue, dry eye after screen use for longer than two hours at a time. The
Vision Council refers to this collection of symptoms as digital eye strain. The Vision Council’s
2014 Digital Eye Strain Report suggests that nearly 70 percent of American adults experiences
some form of digital eye strain due to prolonged use of electronic devices including desktop
and laptop computers, smart phones, e-readers, television and videos. The study found that
adults are most likely to experience digital eye strain in between 6 p.m. to 9 p.m. The number
of people subjected to a significant amounts of on-screen work with digital eye strain and visual
fatigue is currently increasing. Improper use of sense organs, violating the moral code of
conduct, and the effect of the time are the three basic causative factors. No remedial measures
for the cure of this pathology prevail in the domain of modern medicine except using ocular
surface lubricants and computer glasses in spite of remarkable progress and advances in the
field of modern ophthalmology. On the basis of critical analysis of the symptoms of Digital
Eye Strain on tridosha theory of Ayurveda, it seems to be a Vata–Pittaja ocular cum systemic
disease. Jeevantyadi Ghrita (orally), Jeevantyadi Ghrita Netra Tarpana (topically) and
counseling regarding proper working conditions on computer were tried in 30 patients,
suffering from Digital eye strain. In group I ,where oral and local treatment was given,
significant improvement in all the symptoms of Digital eye strain was observed whereas in
groups II and III local treatment and counseling regarding proper working conditions,
respectively, were given and showed insignificant results. The study verified the hypothesis
that Digital Eye Strain from Ayurvedic perspective is a Vata-Pittaja disease affecting mainly
eyes and body as a whole and needs a systemic intervention rather than topical ocular
medication only.
Keywords: Digital eye strain, Jeevantyadi Ghrita, Netra Tarpana.

Corresponding E-mail: sunitamagar66@gmail.com

An open label clinical trial on the efficacy of leech therapy in reducing the
intra-ocular pressure (IOP) in open angle glaucoma patients
Jeena NJ
Department of Salakyatantra, Vaidyaratnam P S Varier Ayurveda College, Kottakkal, Kerala, India
Abstract
Raised intra-ocular pressure is seen in glaucoma which is very much prevalent all over the
world. Controlling the IOP is a difficult task which presently involves some surgical measures.
The prognosis of the disease is also not satisfactory with the current treatment modalities. The
aim of this study was to test the efficacy of leech therapy in reducing the increased IOP. Thirty
diagnosed patients of chronic open angle glaucoma (>5 years) in the age group of 40-60 years
with a raised IOP of more than 25 mm hg were selected for the clinical trial. Leech therapy
was performed once in 3 days for a period of one month. Live healthy leeches of the family
Hirudinae medicinalis (nirvisha jalooka) were used for conducting 10 sessions of leech therapy
over a month at three - day intervals. The site selected was limbus as well as palpebrae.
Indentation tonometer was used to check the intra-ocular pressure. IOP taken on day 1, day 12,
day 21 and day 30 of leech therapy were considered for analysis. Patients were given Ayurvedic
eye drops after 30 days and a follow-up IOP was taken at 3 months (day 90). All anti-glaucoma
drops were stopped during the period of the study. Difference of IOP of each leeching was
analyzed using paired t test. Differences of IOP between the first day of leeching and the last
one as well as 3 month follow-up were also analysed using paired t test. Mean IOP at day one
was 33.8+8.4 and after treatment IOP was 30.1+7.7 which was statistically significant (p<0.05)
according to paired t-test. The results were statistically significant on day 12 and day 21 too
(p<0.05). The mean variation from Baseline to day 30 and follow-up on day 90 were 32.2 +
9.3, 22.5+4.6, and 20.7+4.9 respectively. There was a mean change of 12 mm Hg in IOP which
was highly statistically significant (p<0.01).
Keywords: Glaucoma, intra-ocular pressure, leech therapy

Corresponding E-mail: drjeenanj@gmail.com

The efficacy of Rakta Apamargadi Dhooma Varti in the management of Nasa Arsha
(Nasal polys)
Ranasinghe RHS1, Peiris KPP2

1
Gampaha Wickramarachchi Ayurveda Hospital, Yakkala, Sri Lanka
2
Department of Shalya Shalakya, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya,
Yakkala, Sri Lanka
Abstract
Nasal Polyps represent a challenging diagnosis for the physician to treat. Management of nasal
polyps forms a large part of the workload due to non-availability of successful treatment
modalities with reincarnation of removed polypoidal tissues. Among Ayurvedic treatments,
fumigation treatment (Dhoopana Kalpana) was used in the management of Nasa Arsa. This
study aimed at introducing a new treatment modality with new formulation Rakta Apamargadi
Dhooma Varti. It has been practiced clinically in Shalakya clinic at Gampaha Wickramarachchi
Ayurveda Hospital, though not statistically evaluated. In the clinical study, 20 patients were
selected in age group between 16-60 years irrespective of their sex, religion, occupation and
habitat etc. They were randomly divided in to two groups and a detailed research performa was
prepared incorporating all the televant points to study the patient as well as the disease. Group
A was treated with Rakta Apamargadi Dhooma Varti for fumigation treatment with
Thamalakyadi Phanta and Seetarama Vati. Group B was treated with above internal medicine
without fumigation. All of them completed the treatment accurately within two weeks and the
follow up study continued up to one month. After the treatment, the size of the Nasa Arsha was
assessed on the basis of the anterior rhinoscopic examination with pre and post photographs
and by assisting special symptom wise questionnaire, Nasal Obstruction Symptom Evaluation
(NOSE) instrument/scale with visual analogue scale and tested blood for WBC/DC levels as
special investigation. According to the analysis, fumigation treatment had shown significant
results for nasal obstruction and reducing the size of the polypoidal sprouts. However, while
considering the other symptoms such as headache, running nose, sneezing and itching of eyes
Group B too has shown considerable improvement.
Keywords: Nasa Arsha, Rakta Apamargadi Dhooma Varti, Dhoopana Kalpana

Corresponding E-mail: hansishiranthi@gmail.com

Ayurvedic management of Stargardt disease: a case report
Adithya Babu PTP

Department of Salakya tantra, VPSV Ayurveda College, Kottakkal, Kerala, India
Abstract
Stargardt disease is the most common form of inherited juvenile macular degeneration which
causes progressive vision loss. Mutations in ABCA4 gene cause the production of
dysfunctional protein that cannot perform energy transport to and from photoreceptor cells in
the retina and the photoreceptors in turn undergo degeneration causing vision loss. Symptoms
typically develop in the first to second decades with bilateral, gradual impairment of central
vision which may be out of proportion to the macular changes, so that the child may be
suspected of malingering. Though the disease is considered rare, it is not so uncommon and is
very troublesome to the affected. The most alarming part of this disease is that there are no
treatments available in modern ophthalmology. Using magnifiers and sunglasses may give
some relief. The role of Ayurveda is crucial in this case in providing some measures to prevent
the progression of the disease. From the Ayurvedic perspective, the condition is to be discussed
under the concept of Timira-Kacha-Linganasa. The signs and symptoms may contribute to the
involvement of tridosha vitiation. If there are changes in the retina which are irreversible, the
disease may be considered sannipatika. Here the case of a 15 year old girl is discussed who
presented with dimness of vision and increased sensitivity to glare and fundus changes which
are suggestive of Stargardt disease. She positively responded to the proposed Ayurvedic
management procedure.
Keywords: Stargardt disease, sannipatika drishti roga

Corresponding E-mail: adithdr@gmail.com

Musta powder and practice of Yoga in the management of Hyperlipidemia

(Medoroga)
Karunaratne HKBMS1, Perera KC2

1
Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri Lanka
2
Abstract
Hyperlipidemia can be referred to elevated levels of total cholesterol, low density lipoprotein,
very low density lipoprotein, triglycerides and low high density lipoprotein in blood.
Hyperlipidemia is a major health problem at present. It is an independent risk factor for
ischemic heart disease, cardiovascular disease and stroke. According to Ayurveda,
hyperlipidemia is caused by imbalance of Agni and increase of Kapha and Medo Dhatu. Musta
(Cyperus rotundus) has the effect of increasing Agni and Kapha Medaghna action.
(Cha.Su.21/21-28). Toxicological studies of Musta have not shown any evidence of its’
toxicity. Many researches have been carried out to find out the hypolipidemic action of Musta
using animals. However, up to date there is no any clinical evaluation undertaken to identify
the effect of Musta powder on hyperlipidemia. Mental stress found to be a risk factor for
hyperlipidemia. Shawasana and Anuloma Viloma Pranayama are said to be effective in
reducing stress. Considering all the above facts Musta powder and Yoga were selected as an
effective treatment to manage Hyperlipidemia. The general objective of this study is to
evaluate the effectiveness of Musta powder and Yoga in the management of Hyperlipidemia.
This study is a randomized, comparative clinical study with 50 selected hyperlipidemic patients
from Swasthavritta clinic at Ayurveda Teaching Hospital, Borella.The patients were randomly
divided in to two groups; A and B. In group A , 25 patients were treated with Musta powder
and yoga practice for a period of two months with 01 month follow up period. In group B,25
patients were treated only with Musta powder. Group A was moderately effective (P<0.01) in
reducing total cholesterol levels and effective in reducing LDL levels (P< 0.05). There was
no any statistically significant parameter in group B (P value > 0.05) on Lipid Profile.
Comparative effect of this study was insignificant at P value > 0.05.
Keywords: Cholesterol, low density lipoprotein, triglycerides

Corresponding E-mail: minrupa@yahoo.com

A comparative study to evaluate the efficacy of Vyadhana Karma in Vataja Shirashoola
Champavathi P
Department of Shalakya tantra, Atreya Ayurveda medical college, Doddabalapura, Bangalore
Abstract
Vataja Shirashoola is one among many varieties of Shirashoola explained in Ayurveda
classics. Characteristic features of Vataja Shirashoola are pain which is bilateral in location,
cracking sensation and throbbing of veins. These clinical features show a lot of similarities
with tension headache, which is the most common type of primary headache. Its treatment
includes pain killers, which has a lot of side effects after prolong use; also patients get addicted
and resistant to medicines. Hence in the present study, a first of its kind - an attempt was made
to find out a non-medicate surgical therapy in the management of Vataja Shirashoola. The
objective of the study was to evaluate the efficacy of the Vyadhana Karma in the management
of pain in Vataja Shirashoola and to find out a non-medicate surgical therapy for management
of pain in Vataja Shirashoola. A total study population of twenty patients were taken according
to randomized sampling technique. Special proforma of case sheet was prepared with detailed
history taking and examination was done. Headache disability index and VAS (Visual
Analogue Scale) scale were used as objective assessment criteria along with symptoms of
Vataja Shirashoola as subjective assessment criteria. One sitting of Vyadhana Karma was done
on bru, shanka and lalata pradesha during the headache. Before and after the Vyadhana Karma
procedure, pain assessment was done, the basis of which the results were statically analyzed.
The percentage of remission was 74%. It can be concluded that the Vyadhana Karma acts as
an effective Athyayika chikitsa in treating Vataja Shirashoola.
Keywords: Vyadhana Karma, headache disability index, VAS (Visual Analogue Scale)
Corresponding E-mail: drchampavathi@gmail.com

Evaluation of wound healing activity of Nigella sativa seed powder on Wistar albino rats
Kumaran K1, Sivakanesan R2, Paheerathan V3

1
Bandaranaike Memorial Ayurvedic Research Institute, Nawinna, Maharagama, Sri Lanka
2
Department of Biochemistry, Faculty of Medicine, University of Peradeniya, Sri Lanka
3
Unit of Siddha Medicine, Trincomalee Campus, EUSL
Abstract
Wound healing requires special treatment and care. In the allopathic medical system wound
healing, both surgical as well as non-surgical, has proved to be challengeing. Due to the
emergence of multi-resistant organisms, wound care professionals have revisited the ancient
healing methods in order to use traditional and alternative medicine in wound management.
Several herbs used to promote the wound healing have not yet been scientifically studied.
Nigella sativa (black-caraway, also known as nigella or kalonji), often called black cumin, is
an anual flowering plant in the family of Ranunculaceae. The aim of this study was to identify
the effectiveness of Nigella sativa seed powder in wound healing activity in an animal model.
It is an experimental study on healthy Wistar albino rats. The animals were divided into 3
groups. The animals of group A were left untreated and considered as control. Group B served
as standard and received Amoxicillin. Group C was considered as test and treated with prepared
test drug. Powder of test drug and standard drug were topically applied 500mg every alternative
day and bandaged starting from the day of operation, till complete epithelialization up to 14
days. The direct observation of wound size, exudates type and amount, edges, necrotic tissue
type and skin colouration of surrounding wound records were converted into Bates-Jensen
Wound assessment Tool. Control group showed continuing recovery due to physiological
healing during the experiment up to 14 days. The test and standard groups showed considerably
minimum duration for complete wound healing. The duration for complete wound healing of
the standard drug was observed to be 10 days whereas in test drug, it was only 8 days. It shows
that the test drug has faster recovery rate than the standard drug. This obviously suggests that
Nigella sativa seed powder is effective on wound healing.
Keywords: Nigella sativa, wound healing, experimental model

Corresponding e-mail: 29keerthu@gmail.com

A clinical study on the efficacy of Yashtimadhu Ghrita Karnapooran in the management

of Pittaja Karnashoola with special reference to Otitis Externa
Jayawant Kharat1, Anjali Nitin Upadhye2, Shardha Shelake2

1
Department of Shalkyatantra, Hon. Shri. Annasaheb Dange Ayurved Medical College, Ashta, Tal. Walwa,
Dist. Sangli
2
Hon. Shri. Annasaheb Dange Ayurved Medical College, Ashta, Tal. Walwa, Dist. Sangli
Abstract
Karnashoola is one of the common problems identified in majority of patients in clinical

settings. In modern medical science, quite effective and wide range of antibiotics and
analgesics are available. These modern treatment modalities for earache are expensive and not
free from side effects. Prevalence of this disease is 10-29% in India. Recurrence is also
observed in 15% subjects (American academy of Otolaryngology, Head and Neck Surgery
foundation – 2006). Considering all these points, there is need for search of a safe drug. Pittaja
Karnashoola Vvyadhi can be correlated with otitis externa. A lot of treatment modalities are
explained by Acharyas for this disease according to the condition of the patient and progression
of disease. However, no work has been undertaken so far on Pittaja Karnashoola. In this study,
easily available and economically less expensive Yashtimadhu Ghrita was used in Pittaja
Karnashoola, described by Sushruta. The aim of this study was to evaluate the efficacy of
Yashtimadhu Ghrita Karnapooran in the management of Pittaja Karnashoola. 70 patients
clinically diagnosed were randomly selected from OPD and IPD of Shlakyatantra Department.
The raw drug was collected from genuine source and Yashtimadhu Ghrita was prepared
according to the standard method. Authentication and standardization was done using
pharmacological and physiochemical procedures. Patient selection was done on the basis of
signs and symptoms of Pittaja Karnashoola described as per Ayurvedic and modern medical
science. A non-parametric test, Wilcoxon Signed Rank test, was used for intra-group
comparison (before and after treatment of a group) to test the significance of therapy. The level
of significance was kept at 0.05. Out of 70 patients 31 patients (44.29%) completely cured, 15
patients (21.43%) showed marked improvement, 16 patients (22.86%) moderate improvement
and 8 patients (11.43%) were with mild improvement. According to the results, it can be
concluded that Yashtimadhu Ghrita Karnapooran is significantly effective in the management
of Pittaja Karnashoola.
Keywords: Jayapala Beeja, Shodhana, physico-chemical analysis

Corresponding E-mail: anjali_upadhye@rediffmail.com

A case study of CRAO Sequel-Macular Oedema with ERM: an integrative treatment

approach
Abhyankar P, Pawar R, Baviskar H

Nimi Eye care, Treatment and Research in Ayurved, 272, Parth complex, Pune-Maharashtra, India
Abstract
A female patient, 43, non-diabetic, non-hypertensive experienced RE-sudden loss of vision in

May 2016. Her vision at that time was found to be RE-counting fingers, LE-6/5p, near vision
with presbiopic correction +1.50D for RE-N36p, LE-N6. On examination, the patient was
diagnosed as RE-Central retinal arterial occlusion with cherry red macular hemorrhage and
retinal oedema. She was referred to vitreoretinal surgeon and on his recommendation, she was
given LASER treatment after 2 days. She also underwent intravitreal [IV] injectables twice to
reduce retinal oedema. With this treatment, her vision was improved to 6/12p, N10. But she
had RE-floaters in vision as a new symptom; on examination RE fundus showed macular
oedema and epiretinal membrane [ERM] involving partial macular area. The patient underwent
OCT to determine severity of macular oedema and other structural pathology. As there was
limited relief with IV injectables, she was advised to take Ayurvedic treatment for further
improvement in vision and to get rid of other symptoms as an alternative and complementary
treatment. The patient was advised only systemic Ayurvedic Shaman treatment and no local
treatment was given. She was advised to take Ayurvedic medicines which included
Chandraprabha Vati 250mg 2 tabs twice a day, Manjisthadi Vati 750mg 1 tab twice a day,
Nimbamrutadi Vati 750mg 1 tab in the morning and 2 tabs at bed time, Amalaki Ghana Vati
250mg 1tab in the morning and 2 tabs at bed time, Gomootra Haritaki 150mg 2 tabs twice a
day (All tabs with lukewarm water as Anupana) and Timir Ghrita 10ml bed time with
lukewarm milk. This treatment continued from October 2016 to April 2017. With this
treatment, her vision improved to 6/6p, N8 in March 2017.She was advised to continue same
medicines along with addition of tab Vasanta Kusumakar 40mg at bed time and tab
Yashtimadhu Ghana 250mg twice a day. Follow up was done in April 2017, where she had
vision in RE 6/6, N6. Her fundus showed regression of ERM with decrease in macular oedema
which was confirmed on OCT.
Keywords: CRAO, ERM, complementary treatment.

Corresponding E-mail: preeti.u.abhyankar@gmail.com

Regaining visual fields in a case of POAG: an integrative approach
Hemant Baviskar, Rajesh Pawar, Preeti Abhyankar

Nimi Eye care, Treatment and Research in Ayurved, Parth complex, Navi peth, Pune-30
Abstract
According to WHO, glaucoma is the second leading cause of blindness [12.3%] worldwide.
Present available treatment options in allopathic medicine for glaucoma have very little
encouraging results for neuro protection. This case report narrates a motivating experience in
treating glaucoma with an integrative approach with Ayurved and modern Ophthalmology. A
42 year-old, married, non-smoking, non-alcoholic Asian female housewife presented with
symptoms of dimness of vision in both eyes [LE>RE]and moderate headache. On examination,
she had vision RE-6/36, LE-counting fingers, both eyes IOP before mydriasis on NCT was 18
mmHg, which was found to be raised to RE-25mmHg, LE-22mmHg after mydriasis. The
anterior chambers of her both eyes were shallow, Fundus revealed bilateral glaucomatous
cupping [RE-0.9:1, LE-0.7:1]. Patient had similar symptoms experienced in the past, for which
she had taken modern medicinal treatment for short and at irregular intervals. She had
undergone visual field analysis and OCT of both eyes six years ago, stating bilateral
glaucomatous advance changes. She had started local antiglaucoma eye drops with which the
IOP came to near normal. [RE-18.9 mmHg, Le-14.6 mmHg] The patient was advised to take
Ayurvedic treatment along with routine antiglaucoma medicines specially from systemic health
and neuro protection point of view. She was also advised on systemic Shaman cikitsa and local
treatments including Bidalaka, Shirotarpana, Anjan. She also underwent Basti cikitsa for 16
days. She responded well to this integrative line of treatment. Marked visual recovery was
noted both on Snellen’s chart as well as in field analysis within 4 months after starting
Ayurvedic treatment which sustained thereafter.
Keywords: Glaucoma, visual fields, integrative approach.

Corresponding E-mail: preeti.u.abhyankar@gmail.com

Clinical application of Sri Lankan traditional formulae (Sétärämavaöé and Denibädi

Kañäya) in the management of Ürdhvajatrugata Roga: a survey based study
Karunarathna HMHL, Peiris RM, Samaratunga U, Dharmapriya AKH

Department of Ayurveda Basic Principles, Gampaha Wickramarachchi Ayurveda Institute, University of
Kelaniya, Yakkala, Sri Lanka
Abstract
The history of Sri Lankan traditional medicine dates back to the period of riñi Pulasthi and
king Rävaëa. It consists of a vast range of indigenous drug formulae in the management of
various kinds of diseases. There are a number of authentic texts related to traditional medicine.
The Vaöikä Prakaraëaya is one such authentic classic which was written in the 18th century.
The formulae used for this study was obtained from the Vaöikä Prakaraëaya. The objective of
the study was to identify clinical application of Sétäräma Vaöé and Denibädi Kañäya in the
management of Ürdhvajatrugata Roga. One hundred indigenous medical practitioners were

randomly selected for this study. The data were collected through a specially designed
questionnaire. In the literature review of the formulae, Bin kohomba (Munronia pinnata) and
Kudumirissa (Toddalia asiatica) were identified as native plants in Sri Lanka.Another specific
feature is that Lunuwarana (Crateva adansonii) which is mostly used in the urinary tract
diseases in Ayurveda, has been used to treat diseases in the Ürdhvajatrugata Roga in traditional
medicine. The results revealed that 100% of physicians use this combination for Çiro Roga,
especially in Kaphaja and Vätaja Çiro Roga. Apart from that, many physicians (85%) use it for
PénasRoga. 45% of physicians use it for the Karëa Roga, especially in Karëa Päka and Karëa
Sräva and 40% of physicians use it for the Näsä Roga, especially in Kaphaja Pratiçyä. Further,
Akñi Roga (30%) and Mukha Roga (20%) were also treated by the physicians using this
formula. Therefore, it can be concluded that most of the indigenous physicians in Sri Lanka
use this traditional formula in the management of a wide range of Ürdhvajatrugata Roga.
Key Words: Sétäräma Vaöé, Denibädi Kañäya, Ürdhvajatrugata Roga

Corresponding E-mail: hasini869@gmail.com

Ayurvedic management of Ardhavabhedaka (Migraine)
Vaghela DB
Deptartment of Shalakya, IPGT & RA, Gujarat Ayurved University Jamnagar, Gujarat-India 361008
Abstract
Ardhavabhedaka defines Ardha Mastaka Vedana. Migraine, the most common cause of
vascular headache afflicts approximate 15% of women and 6% of men. Migraine can often be
recognized by its activators like stress, lack of sleep, worries, red wine, menses, estrogen etc.
and by its deactivators like sleep, relaxation, meditation, pregnancy, exhilaration and drugs.
Modern life style and stress are the main causative factors for the condition. Many medications
have been tried and a many are still under research, but modern drugs are not acceptable due
to their inherent drawbacks. In contrast, Ayurveda has a variety of natural medication in the
treatment of Ardhavabhedaka. It was planned to compare the results between Laghu
Sutashekhara Rasa orally in Group A, Brihat Dashamoola Taila Nasya in Group B, placebo
drug in Group C and Go-ghrita Nasya in Group D. Total 150 patients were selected. The overall
effect of therapy showed that in Group A 38% patients cured while 36% patients showed
marked improvement. In Group B 46.67% patients moderately improved while 35.55%
patients showed marked improvement. In Group C 90% patients did not show considerable
change. In Group D 48.89% patients moderately improved and 28.89% patients showed
marked improvement. No any adverse drug reaction was found during the whole study. From
the results and observation it can be concluded that Group A shows better results in
Ardhavabhedaka.
Keywords: Brihat Dashmoola Taila, Laghu Sutashekhara Rasa, Nasya

Corresponding E-mail: drvaghela@rediffmail.com

Medico - surgical management of Naaga Patala according to Sri Lankan

traditional medicine
Alagiyawanna AMAP1, Weerapperuma WDD2

1
National Ayurveda Teaching Hospital, Borella, Sri Lanka
2
Meegoda Ayurveda Provincial Hospital, Sri Lanka
Abstract
Even 6000 years ago, Sri Lanka had a well-established traditional medicine system since the
time of ancient kings. Traditional medicine is a valuable system continuously developed since
that era. According to traditional knowledge of Wataddara family, Naaga patala is similar to
Arma types which are Mansaja and Snayu. Arma is a disease having exact similar entities to
pterygium. The prevalence of pterygium was found to be 10.2 % in the world. The objective
of this study was the identification of Wataddara traditional treatment protocol on management
of Naaga Patala. 30 cases were randomly selected whose age ranged between 35 and 65 years.
The subjects of Keloid growth in eye, malignant hypertension, cardiac disorders and other
complicating diseases were excluded. First line of treatment was done for 21 days before
surgery. Ghee, Tripala, Ridee Ashchotana 2-3 drops were gradually added to the patient's eye
at ten O' clock in the morning. Each type was used for 7 days. Surgical procedure was applied
as a second line of treatment. Surgery was performed by using stems of Hibiscuss rosa - sinesis.
Stems were kept for 10 minutes in Haridradi liquid solution for sterilization. About 0.01 gm
of Saindavadi choorna was added to the patient's eye. After 15 minutes, incision of Arma
began. Ghee and breast milk were mixed in to 1:2 ratio and 2-3 drops were added to the eye
and it was closed with a piece of sterile gauze which contained Ghee preparation. Irritated eye
was cured within three days after prescribing medicines such as Tripala Guduchyadi Kashaya,
Kumari Chandana Widalaka with bee honey as a third line of treatment. According to the
results this traditional treatment protocol has a beneficial therapeutic effect on management of
Naaga Patala.
Keywords: Arma, Pterygium, traditional medicine

Corresponding E-mail: dineshadulanjali.89@gmail.com

A clinical study on Ayurvedic management of Keratoconus
Manjusree Sreejith, Namboothirif NPP, Sreekanth NP

Sreedhareeyam Ayurvedic Eye Hospital and Research Centre, Koothattukulam, Kerala
Abstract
Keratoconus is corneal disorder in which there is a progressive thinning of the central part
leading to conical protrusion and there by uncorrected visual error, usually found in second and
third decade. In a population based on cohort analysis, the Central India Eye and Medical Study
reported the prevalence of Keratoconus in central India to be 1.4%. The contemporary science
advocates power glasses, contact lenses, corneal implants, corneal collagen crosslinking with
riboflavin (C3R), Laser assisted surgeries and Keratoplasty in Keratoconus. It is difficult to
find out an exact reference about Keratoconus condition from classical texts of Ayurveda. In
Ayurveda, the clinical features related to visual disturbances are seen only in Drushtigata
Rogas. Hence, all cases of visual disturbances can be correlated under the broad heading of the
Timira – Kacha – Linganasha complex. Open labeled, observational, 28-week study using
selected Ayurvedic medicines and therapies to be conducted in 30 subjects with the diagnosis
of early or advanced Keratoconus, who are between ages of 18 to 45 years, inclusive. 28 weeks
IPD/OPD trial with 3 In-patient visits and 3 telephonic visits. The in-patient treatment duration
for each patient is 14 days (± 3 days), which included treatments like Nasyam, Sekam,
Anjanam, Aschyotanam, Tharpanam, Sirodhara / Sirovasthy, Pichu and Nethra Bandhana. The
study was conducted using black box design, i.e; the study was not assessing any therapeutic
protocol in specific, but the treatment principles of the entire Ayurvedic system in treatment of
Keratoconus. The subjects who satisfied the selection criteria entered into the study and
received treatment for 24 weeks followed by End of study visit and a 4-week follow up visit.
The duration of the study for each subject was approximately 7 month (28 weeks). All statistical
tests were two-sided with a significance level of =0.05. Data were summarized using
descriptive statistics (number of subjects [n], mean, standard deviation [SD]) for continuous
variables, and using frequency and percentage (i.e., number and proportion of subjects – n, %)
for discrete/categorical variables, unless specified otherwise. Paired sample t-test was used to
assess efficacy outcome of the trial. LogMAR was used to convert visual acuity observed using
Snellen’s Chart to reach decimal values. KISA% was used to assess the changes in topography
from baseline to end of treatment. Results: The study showed clinically and statistically
significant changes in Corneal Topography, Visual Acuity and Refraction. Visual acuity
showed a 7.3% improvement (p<0.05) and refraction showed a reduction of 10% (p<0.05
KISA% showed a reduction of 14.6% (p<0.05). The presentation will also deal with specific
cases of substantial improvement and explore the mechanism of action of Ayurvedic treatment
principles in the treatment of Keratoconus.
Keywords: Keratoconus, Ayurvedic treatment, corneal topography changes

Corresponding E-mail: clinicalresearch@sreedhareeyam.com

A study on the effects of a Kuppilai (Ennai) oil in the management of chronic wounds
Anpuchelvy S1, Sritharan G2

1
Unit of Siddha Medicine, University of Jaffna, Sri Lanka
2
Herbal health care center, 65, K.K.S. Road, Kokuvil, Jaffna
Abstract
Chronic wounds are frequently encountered problems in the present era, mostly due to the
complications of trauma or pathological injury and they cause long-term agony to the patients.
In the present study, Kuppilai Ennai was prepared and its wound healing potentials were
studied on various types of chronic wounds such as Lacerated wounds, Post-operative wounds,
Fissures, Burns, Pressure sores, Tropic ulcers, Varicose ulcers and Diabetic ulcers with sugar
control. Wound healing effects were studied on 40 patients with chronic wounds (wounds last
in more than three weeks). The patients were selected from Herbal Health Care Centre, Kokuvil.
The patients were divided into two groups – Group A (Kuppilai Ennai dressing) and Group B
(Normal Saline Gauze bandage). The drug was applied topically and patients were studied daily
for 30 days and results were analyzed. The wound size, margin and surface, floor/base, colour,
itching, burning, pain, smell, discharge and granulation tissue were assessed according to the
rating scale. All data based on various parameters were gathered and statistically analyzed in
terms of mean (X), standard deviation (S.D.), standard error (S.E.), paired test (t-value). Finally
results were incorporated in terms of probability (p) as – p < 0.05 - Insignificant p < 0.01 -
Significant p < 0.001- Highly Significant. In Chronic Wound the size was decreased up to
69.23% which was statistically highly significant. There was considerable improvement (> 80
%) in swelling and unhealthy margin. Pain, tenderness, discharge and unhealthy granulation
tissue showed moderate effect (between 60 to 70 percent) in the chronic wounds. Therefore,
it was concluded that the drug “Kuppilai Ennai” possesses sufficient efficacy in the
management of wounds without producing any adverse effects.
Keywords: Kuppilai Ennai, herbal health care centre, chronic wound

Corresponding E-mail: gsritharan09@gmail.com

In-vitro study to evaluate the antibacterial activity of Buddharaja Kalka with

Makarandanvilapambul Anupana against Staphylococcus aureus
Krishan WA
Abstract
Buddharaja Kalka is a herbo-mineral drug preparation. However, there are three prescriptions
available in Sri Lanka. It is used in upper respiratory diseases, particularly in common cold and
bronchial asthma etc. The evaluation of the antibacterial activity of the Buddharaja kalka with
Makarandan anupana against Staphylococcus aureus was the main objecdtive of this study.
Sadilingam, Gandaka, Hiriyal, Manosheela, Sasyaka, Ahipena are special ingredients in the
Buddharaja Kalka and it consists of 1/3 of Sweta Chandana and 1/3 of Rakta Chandana. Three
market samples of Buddharaja Kalka from different manufactures were selected. Single
minimum human dosage in daily doses of this drug (5g) was dissolved in
Makarandanvilapambul Anupana and shaked well to get the maximum soluble liquid extract.
Nutrient broth and nutrient agar were prepared and sterilized according to manual. The tests
were performed by well diffusion method. According to the results, Amoxicillin showed 2cm
- 2.5cm clear inhibition zones of the bacterial lawn on every test drug sample. Buddharaja
Kalka sample A showed 15 mm zone of inhibition against Staphylococcus aureus while sample
B showed 17 mm zone and sample C showed 18 mm zone of inhibition. These results were
statistically analyzed by using SPSS software. All the means were within accepted levels and
p value was set at P < 0.5 in comparison to Amoxicillin. All 3 samples which were tested had
an antibacterial effect in comparison to the control. It can be concluded that Buddharaja
Kalkaya with Makarandan Anupana had an anti-bacterial effect against the Staphylococcus
aureus.
Keywords: Makarandan Anupana, antibacterial effect, Staphylococcus aureus

Corresponding E-mail: wanigathungakrishan@gmail.com

Wound healing activity of leach therapy on Dhusta Virnam: a case study
Saranya U1, Kanesalingam M2

1
Unit of siddha medicine, TC, EUSL
2
Rural Ayurvedic Hospital, Karavaddi, Jaffna
Abstract
Leech therapy is one of the ancient and important para-surgical procedures described in Siddha
medicine in the treatment of various diseases including Dhusta Virnam. Dhusta Virnam is
characterized by appearance of corals colors / red color and bad smell from the wounds. There
are a number of studies conducted to explore the effect of leech therapy on chronic wound.
This is a case study where medicinal leech was used to treat patient with Dhusta virnam. The
patient was 57 year old male, suffering from non-heeling ulcer in right foot for four years. The
wound developed following a snake bite and was becoming larger and smelly, exuding large
amounts of fluid with severe pain. He had failed in multiple therapies. He was asked to obtain
Full Blood Count Report to confirm normal hemoglobin range and the patient’s wound was
initially cleansed using normal saline 0.9% and a medium size leech was selected and purified
using turmeric water. Following purification process the leech was applied on edge of the
wound and kept until it was released spontaneously. Finally, the wound was dressed using
gauzes and supportive bandage. The same treatment procedure was carried out every week
until the wound completely cured. Improvements in the size, type of exudates, smell,
appearance of the wound base, surrounding skin and wound edges were taken as assessment
tools. Following the leech therapy considerable changes were observed in exudation; serous
exudates was moderately present before treatment and was reduced into mild exudates after
one month of treatment and wound became completely dry after 5 to 6 month treatment, heavy
foul smell was reduced after one month of treatment and wounds were completely cured from
wound size of 12 cm × 7 cm after one year of treatment. An appropriate wound healing
environment was achieved by breaking the cycle of chronic inflammation, disinfecting and
detoxifing the infected tissue, bacteriostatic activity and improving the blood circulation on
affected area.
Keywords: Case study, leech therapy, Dhusta Virnam

Corresponding E-mail: kganga28@gmail.com

Jalaukavacharana and wet cupping in the management of sciatic nerve compression:

a comparative clinical study
Nuwansiri LSB1, Abeysooriya SR2, Wickramarachchi WJ1

1
Department of Cikitsa, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
2
Department of Dravyaguna, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
Abstract
The classically sciatic pain is distributed in pathway of sciatic nerve. Herniated intervertebral
disc is believed to cause most cases around 90%. Other lesions affecting the integrity of the
lumbosacral nerve roots (L4-S3) or the sciatic nerve include lumbar canal or foramina, stenosis,
tumors, cysts, hemorrhages, abscess, fractures and some more uncommon conditions may
produce same clinical features. The characteristic condition of sciatica is most related to
Gudhrasi mentioned in Ayurveda. Gudhrasi cikitsa comes under Vatavyadhi cikitsa.
Chakradatta mentioned that blood letting is effective in the management of Vatavyadhi.
Jalaukavacharana is one of the common methods used for blood letting in Ayurveda. Wet
cupping is also a procedure of blood letting related to Alabu mentioned in Ayurveda. A
comparative clinical study was designed with 20 patients of Group A being treated with
Jalaukavacharana alone and 20 patients of Group B with wet cupping alone. The data were
analyzed individually with Sciatica Bothersomeness Index (SBI) and Sciatica Frequency index
(SFI) and Compared using contingency coefficient and two way ANOVA. The results show
significant difference between the groups with P value less than 0.001. Wet cupping group (B)
showed highly significant results dominating over Jalaukavacharana group (A). Though both
Jalavkavacharana and Wet cupping provided relief, Wet cupping provided an acute and
sustained relief.
Keywords: Sciatica, Gudhrasi, Jalaukavacharana, wet cupping

Corresponding E-mail: buddhikanuwansiri1987@gmail.com

Significant characteristics of traditional medicine in Sri Lanka: a review based on

sources of available evidence
Peiris RM, Karunarathna HMHL, Samaratunga U, Kaldera HPIJ, Wewalwala SL

Kelaniya, Sri Lanka
Abstract
Traditional medicine in Sri Lanka dates back over a period of 3000 years and expanded with
the influence of Ayurveda and traditional culture of the country. The objective of this study is
to review the significant characteristics of traditional medicine in Sri Lanka on the basis of
archeological evidence, inscriptions, ola leaves transcripts and traditional authentic texts such
as Yogarnavaya, Varayogasaraya, Bhesajjamanjusa etc. The basic concept of dedicated
hospitals for human beings was established in Sri Lanka, a fact justified by the archeological
evidence of the Mihintale hospital which is believed to be the first hospital in the world. There
is evidence form a number of inscriptions that traditional medicine received royal patronage
and Maha Wedanā (medical superintendent) and Sulu Wedanā (medical officer) were
appointed by the king to develop the traditional medicine and the significant treatment method
Pūdawedakama (treating the patients by using leech) was practiced. Sri Lankan traditional
medicine is composed of a number of disciplines of which Ürdhvajatrugata Roga receives
considerable significance. Endemic plants have been extensively used to treat diseases in the
Ürdhvajatrugata Roga; Goda Manel (Crinum latifolium), Kapparawalliya (Anisochilus
carnosus) and Kabarossa (Similax zeylanica) have been widely used. Apart from the native
plants, minerals (Walankatu, Yabora) and animal parts (Kabbellapotu) have been used for
preparation of drugs to treat abscesses in the Ürdhvajatrugata Roga. Another significant
feature is that most of the typical practices have been recorded in Ola leaves scripts which
have been preserved in the University of Kelaniya and in some personal collections. According
to those formulae, Pathmana is a special kind of cūrëa in traditional medicine that consists of
China Ala (Smilax glabra Roxb.) as the main ingredient recommended to treat Ürdhvajatrugata
Roga. These findings describe the significant characteristic features of traditional medicine in
Sri Lanka.
Keywords: Traditional medicine in Sri Lanka, Ürdhvajatrugata Roga, endemic plants

Corresponding E-mail: rochellemangellapeiris@gmail.com

A literary survey on traditional Nasya formulae indicated for Shiroroga
Abeysooriya SR1, Nuwansiri LSB2, Kasturirathne KTASC1

1
Department of Dravyaguna, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala
2
Department of Cikitsa, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala
Abstract
Administration of medicines through nasal route is known as Nasya Karma. As it is the nearest
root, any disease related to head is best treated by this procedure. A Nasya formulae which is
used for Shiroroga was collected from selected traditional texts and categorized according to
the indications, medical preparations, type of dravyas and Panchapadartha. Data were
analyzed paying attention to proper variations. All the texts have mentioned 85 formulas in the
chapters dedicated for treatments of Shiroroga; 17 in Sarartha Sangrahaya, 22 in
Yogarnavaya, 19 in Besajjamanjusa, 17 in Varayogasaraya and 10 in Sinhala Yogarathnakara.
26 formulae were repeatedly mentioned and 59 formulae were exclusive. Among them
formulae indicated for Sarwashirorogas (35.59%), Krimija Shirobhithapa (ST) (11.86%),
Akalapalithya (10.17%), Pittaja ST, Suryawartha and Ardhawabhedaka (6.76% per each). 59
formulae have been used as Taila (42.37%), Kalka (13.56%), Kwata (11.86%), Churna
(11.86%), Grita (10.17%) and Ksheera (1.69%). These formulae contain 82.76% of
Oudbhidadravya, 10.34 % of Janthawadravya and 06.90% of Parthiwadravya. Among 48
Oudbhidadravya, Nagara (25.42%), Madhuyasthi (22.03%), Pippalli (15.25%), Marica
(13.56%), Vidanga (11.86%), Nirgundi (10.17%) were commonly found. Cow’s milk
(10.17%), breast milk (6.78%), bee honey and cow’s urine (each in 03.39%), animal blood
(1.69%) were mentioned under the Janthawadravya. Saindhawalavana (5.08%), Yawakshara
(3.39%), Galmada and Kasisa (each in 1.69%) were used as Parthiwadravya. Dravya contain
Thikta (61.11%), Katuka (59.26%), Madhura (40.74%), Kashaya (31.48%), Amla and Lavana
(each in 1.85%) Rasa. Lagu (83.33%), Ruksha (51.85%), Singdha and Theekshna (each in
37.04%) were the predominant Gunas.74.55% were Ushnavirya and 25.45% were
Shitavirya.72% of Katukavipaka and 28% of Madhuravipaka. 50% of Dravya were
Kaphavatashamaka. In conclusion most of formulae indicated for Sarwashiroroga and Taila
are the predominant types of preparation. Oudbhida is the common type of ingredient. Thikta
and Katu Rasa, laghuguna, ushnavirya and katuvipaka were predominant Panchapadartha.
Kaphavatashamaka is the predominant type of Dosa Karma.
Keywords: Nasya, Shiroroga, Oudbhida dravya

Corresponding E-mail: srabeysooriya@gmail.com

Effectiveness of Lannea coromandelica (Houtt.) Merrill – Odhi root bark powder for
wound healing activity in Wistar albino rats
Hemali Kamalini R1, Varnakulendran N1, Sivaganesan S3

1
2
University of Peradeniya
Abstract
Lannea coromandelica is a well-known tree that belongs to Anacardiacae family and is

commonly known as Odhi in Tamil and Hik in Sinhala. Although it has been used by traditional
physicians, still it has not been used in the preparation of pharmaceuticals. Root bark powder
of Lannea coromandelica was administered in 250g of wistar albino rats. Fine powder of root
bark of Lannea coromandelica was prepared. The animals were divided into 3 groups of 3
each. The animals of group 1 were left untreated and considered as control. Group 2 served as
the standard and received Cloxacilline powder. Group 3 was considered as the test group and
treated with the prepared test drug.The Powder of test drug and the standard drug were topically
applied twice a day starting from the day of operation, untill complete epithelialization.
Wounds were measured in width and length in the scale of mm and the size of the wound was
calculated. The appearance of wound was reported as per Likert scale. The result of the study
suggests the tested powder of root bark of Lannea coromandelica has a significant power of
wound healing activity. The wounds of all animals treated with test drug completely healed
while the wounds of standard and control groups persisted. It can be concluded that the root
bark powder of Lannea coromandelica has remarkable wound healing action in wistar albino
rats.
Key words: Lannea coromandelica, root bark powder, wistar rats

Corresponding E-mail: hemalikamalini@gmail.com

Determination of antimicrobial efficacy of Triphala Ashchyotana as a therapeutic agent

for acute conjunctivitis
Perera BSR1, Dayarathna MTA2, Perera BPR2, Karunarathne EDC3, Sudesh ADH3
1
Yakkala, Sri Lanka
2
Department of Cikitsa, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri
Lanka
3
Central Laboratory, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri Lanka
Abstract
Triphala decoction is a therapeutic agent used in the form of Ashchyotana (eye drops) for acute
conjunctivitis. The antibacterial assay was performed according to the standard Antibiotic
Sensitivity Test (ABST) for Staphylococcus aureus (ATCC 25923), Escherichia coli,
Pseudomonas aeruginosa, Methicillin Resistant Staphylococcus aureus (MRSA) and Candida
albicans using chloramphenicol and fluconazole as positive controls. The test drug, Triphala
decoction, was prepared by boiling dry samples of Terminalia chebula, Terminalia belerica
and Phyllanthus emblica 20g each, in 1920ml of water and reducing it to 240ml. Based on the
results of ABST, the Minimum Inhibitory Concentration (MIC) and Minimum Lethal
Concentration (MLC) against S. aureus was determined by using a concentration series ranging
from 3 X 50 μl to12 X 50 μl of Triphala decoction with 100μl of S. aureus in 10ml of nutrient
broth. The volumes were equalized up to 11ml using sterilized distilled water. After an
overnight, incubation at 37OC, 500μl from each concentration was plated using pour-plate
technique and incubated overnight at 37OC. To determine the MLC, a loopful of each
concentration was streaked on Nutrient Agar plates and incubated overnight at 37OC.
According to the results, S. aureus was sensitive to Triphala decoction making an inhibition
zone diameter (IZD) of 18mm, while the readings for the other species were in the intermediate
range of 17mm for E.coli and 13mm for P. aeruginosa. MRSA strain was resistant to the test
drug making IZD 11mm and no inhibition zone was observed for Candida albicans. The MIC
and MLC for S. aureus were of the same concentration (6 X 50μl) showing zero growth after
that point. It can be concluded that Triphala ashchotana is effective in controlling acute
conjunctivitis caused by S. aureus and the dosage required is 6 X 50 μl (6 drops). Triphala can
also be used as a prophylactic agent against acute conjunctivitis.
Keywords: Triphala Ashchyotana, conjunctivitis

Corresponding E-mail: tadayarathna@gmailcom

Efficacy of Kashaya Rasa and Tikta Rasa in Danta Dhavana
Vandana B Bhusari
Sanskrit Samhita Siddhanta, Dr. D Y Patil College of Ayurved and Research Center, Pune, India
Abstract
Ayurveda science emphasizes equally on preventive and curative aspects of life. It suggests the
person who wants to be healthy should take care of his body. Teeth are most important organs
of mechanical digestion in body. Unless the teeth pulverize the food, enzymes cannot
chemically digest it. Ayurveda recommends chewing sticks in the morning to prevent from the
oral diseases. Ayurveda insists on herbal brushes. These herbal sticks should either be
“Kashaya” (Astrigent), Katu (acrid), or Tikta (bitter) in taste. These herbal sticks facilitate
salivary secretion and possibly help in plaque control while some stems have an antibacterial
action. Pathology commonly seen in teeth is Dantamalinta (dentalplaque), Dantamala (debris),
Mukhdaurgandhya, Dantasharkara (dental calculs). These all are due to Kapha and Pitta
Doshavridhi in mouth. Khadira is the best in Kashaya Rasa while Nimba is the best in Tikta
Rasa. Rubbing of Khadira and Nimba Churna helps in removing food debris stuck in the teeth.
Khadira has Katu Vipaka, Laghu, Ruksha, Pittaghna and Kaphaghna properties. Nimba has
Katu Vipaka, Laghu and Kaph Pitta Shamaka properties. The trials were conducted on two
groups of people for 30 days. The active extract of Khadira having astringent property and
Kusthghna Prabhava helps in freshening up of the breath and protects teeth from other
infections. Statistical analysis of Khadira Churna shows approximately 70% satisfactory
results in Dantamala and Dantamalinta whereas extract of Nimba has antibacterial,
antimicrobial and vermicidal action which leads to Doshbalakshaya and Vyadhibalkshaya.
Satatical analysis of Nimba Churna shows approximately 72% results in Asyavairasya,
Mukhadaurgandha. Hence Khadira and Nimba having Kashaya and Tikta Rasa are optimum
in Danta Dhawana to have healthy teeth and protect the oral cavity from diseases.
Keywords: Danta Dhavana, Kashaya Rasa, Tikta Rasa

Corresponding E-mail: drbhusarivandana@gmail.com

Antenatal care for reducing ocular and auditory disorders
Sujata Kadam
Department of Prasutitantra - Streeroga, All India institute of Ayurveda (AIIA), New Delhi
Abstract
The aim of Garbhini paricharya is to get a healthy progeny, i.e., child having long life, good
health and fortune, power of supremacy, energy, complexion and healthy sensory organs.
Health of all sensory organs (Indriya) of individual can be affected by various factors like Beeja
vikriti, diet consumed by mother during antenatal period, consumption of
garbhopaghatakarabhavas and diseases occurred during pregnancy. These factors can lead to
some disorders of eye or ear, which in turn can affect the whole life of the individual. With the
help of Ayurvedic principles, it is possible to prevent some of these eye and ear disorders to be
transmitted to the foetus. For prevention of these disorders, several steps can be followed;
Preconceptional care, antenatal care and intrapartum and postpartum care. In families having
history of eye or ear disorders, preconceptional panchakarma therapy to conception willing-
couple and some medicines can be used for preventing transmission of such disorders to the
foetus. According to Ayurveda, Indriya utapatti in foetus takes place in the third month and its
upachaya in fourth and fifth months. During this period, it is important to prescribe specific
diet, herbs which can increase the strength of particular organs. In order to control some
ophthalmic and auditory disorders. An attempt is made in this paper to elaborate the conceptual
study of the etiological factors which can affect the functions of eyes and ears. Several
measures are suggested to be followed during prenatal and natal period which can increase the
strength of these organs and achive Indriyasampannata.
Keywords: Antenatal, auditory disorders, garbhopaghatkarabhava, Indriyasampannata

Corresponding E-mail: sujatadkadam@gmail.com

Uniqueness of Puravaliyam remedies with special reference to authentic traditional texts
Nishshanka NMSA, Samaratunga U

Abstract
A wide range of distinctive treatment procedures have been used in the management of eye
disorders in Sri Lankan traditional medicine. Among them, traditional Puravaliyam is a
procedure where the medicated paste is applied externally around the closed eye except eye
lids which is similar to Ayurvedic Bidalaka. The study aimed at identifying the materials,
preparing methods and indications of various Puravaliyam formulas which are used in
traditional medicine. A literary survey was carried out and the data were collected from
authentic traditional medical texts such as, Yogarnavaya, Prayogarathnawali, Varayogasaraya
and authentic Ayurvedic texts including Ashtanga Hradaya Samhita, Sharangadara Samhita.
According to the data collected, 17 Bidalaka formulas were found from Ayrvedic texts and 101
puravaliam formulas were found from traditional texts. Among the puravaliam formulas, only
one formula was mentioned in Ayurvedic texts. Although puravaliam formulas had been
recommended for 30 eye disorders such as Timira, Kacha and Patala etc., there were only
foureye disorders mentioned in Ayurvedic texts as indications of Bidalaka. There were 51 plant
materials such as Strychnous potatorum, Tamarindus indica , 4 minerals like mercury, borax
and 5 animal materials such as testicles of Vivera zivetta(Urule sattam), Cuttle fish bone which
were not mentioned in Bidalaka remedies. The study revealed that there were 12 endemic
plants mentioned in these formulas. The research also revealed that there were specific
preparation methods which are not found in Ayurvedic Bidalaka, including the preperation of
drugs on the heated blade of a hoe, tiding drugs inside a pottali and boiled under the hot ashes.
Distinctive liquids were used as grinding agents of medications such as breast milk, lime juice
etc. The present study contributes to identify specialty of drugs, preparation methods and
indications of traditional Puravaliam. It can be concluded that there were many traditional
Puravaliam remedies with specific features which need to be preserved.
Keywords: Authentic traditional texts, Puravaliyam, Bidalaka

Corresponding E-mail: 89suganishshanka@gmail.com

Study of Acute and 28 days repeated oral toxicity of Siddha formulae

Seenthilchooranam in Wistar albino rat
Ushakanthan S1, Visweswaran S 2, Sivakkumar S2, Mariyappan A2, Banumathi V3

1
2
Department of Gunapadam, National institute of Siddha, Chennai-47
3
National institute of Siddha, Chennai-47
Abstract
Seenthil Chooranam is one of the traditional Siddha formulae used in various kinds of diseases
in Siddha system of medicine. The test drug Seenthil Chooranam (Chooranam-one of the 32
types of internal medicine), mentioned in classical Siddha text Agasthiyar Paripuranam – 400,
is used for Megam (diabetic mellitus), Eelai (tuberculosis), Kasam (cough), Elaipu (bronchial
asthma), Erandavayu (scrotal swelling). The ingredients of this formulae include Seenthil
(Tinospora cordifolia), Karisalai (Eclipta Alba), and Earthworm (Eudriluseugeniae). The
present study aimed at evaluating the safety of Seenthil Chooranam as per OECD Guidelines
423,407. This study focused on acute and repeated dose 28 days oral toxicity studies in wistar
albino rat. In acute study, Seenthil Chooranam was administered orally at the dose of
2000mg/kg. b.w and animals were observed for toxic signs for a period of 14 days. In repeated
dose 28 days oral toxicity study, Seenthil Chooranam was administered at the dose of 900mg
and 1800mg/kg b.w. Mortality, toxic signs, body weight, food and water consumption,
haematological, plasma biochemical parameters, gross necropsy, relative organ weights and
histopathology were assessed. The results of these studies revealed that the drug Seenthil
Chooranam did not produce in any mortality at the dose of 2000mg/kg body weight. The LD50
value is greater than 2000mg/kg body weight. Repeated dose 28 days oral toxicity study was
observed without any abnormalities and No-Observed Adverse Effect Level (NOAEL) was
noted. It confirms the safety of the drug which proved its utility in long term administration
without any harm to the human being.
Keywords: Toxicity study, Seenthil Chooranam, Siddha medicine

Corresponding E-mail: ushakanthan19@gmail.com

A clinical study on the management of Ardhavabhedaka
Jayasena RMD1, Jayarathne MNM1, Dharmawijaya PKH2

1
Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
2
Abstract
Ardhavabhedaka is one among the eleven types of Shiroroga. It can be correlated with
migraine based on the similarity in etiology, pathology, symptoms and treatment principles.
Migraine is the second most common cause of headache. WHO has ranked migraine as
number 19 among all diseases worldwide causing disability. Migraine headache attacks may
be triggered by allergic reactions, bright lights, loud noises, odors or perfumes, physical or
emotional stress, changes in sleep patterns, smoking or exposure to smoke, skipping meals
and alcohol. A total number of twenty subjects volunteered to this program and as an effort
to validate the above, the present study bears the details of twenty migraine patients who were
first diagnosed and treated for migraine by allopathic physicians and were then referred to
receive Ayurveda treatment. “Pathya Pruthvi Kwatha” 30ml was used thrice a day for oral
administration. Out of those, fifteen subjects completed 90 days of Ayurveda treatment. This
treatment brought significant relief in reducing the frequency and intensity of pain and
associated symptoms of migraine patients. Eleven subjects reported significant improvement
in overall symptoms of migraine. Overall assessment showed statistically highly significant
results with the p value < 0.000.
Keywords: Ardhaavabhedhaka, Migraine, Pathya Pruthvi Kwatha

Corresponding E-mail: dushyanthajayasena@yahoo.com

Management of Arma with Nayansukha Varti Anjan: a clinical study
Yogesh Kumar Sisodiya, Rajendra Singh Patel, Tushar Firke

SMBT Ayurved College and hospital, Dhamangaon, Nashik (MH)
Abstract
Eyes are the most sensitive and vulnerable part of our body. Air born infection, UV rays,
pollutants, dust and other particles can land directly on the surface of eye, causing eye disease.
Arma is defined as gradually developing continuous wing like growth in Shukla Mandala from
either Kaninika Sandhi (inner canthus) or Apang Sandhi (outer canthus) towards Krishna
Mandala, causing discomfort in eye. Pterygium is found in people residing tropical and
subtropical area. Risk factors include outdoor work, exposure to sunlight, dry and dusty climate
etc. Due to geographic and climatic conditions, Pterygium is a common ocular disorder in
India. Ayurvedic science can be explored to find a better alternative to manage this condition.
Arma which is at early stage having thin membrane and curd like bluish/ red coloured and
smoky should be treated with Lekhana Anjana and recurrent rate is very low after Anjana
Kriyakalpa. Considering all these facts Nayansukha Varti Anjana selected for Arma Chikitsa.
In the present study, 10 patients of Arma were selected and administered Nayansukha Varti
Anjana (Pradhan Karma) after Deepan-pachan and Nasya Karma (Poorva Karma) and
Shamana Chikitsa with Triphala Churna. Nayansukha Varti Anjana have Lekhaniya and
Rasayana property which is useful in Arma Chikitsa. A significant relief was found in signs
and symptoms of Arma after the treatment and no any adverse effects were found after
treatment. Drugs used in treatment are easily available and cost effective.
Keywords: Arma, Pterygium, Nayansukha Varti Anjana

Corresponding E-mail: dr.yogeshsisodiya09@gmail.com

A clinical study of Phalatrikadi Ghrita Tarpan in the management of Myopia
Rajendra Singh Patel1, Yogesh Kumar Sisodiya1, Tushar Firke2

1
SMBT Ayurved College and hospital, Dhamangaon, Nashik (MH)
3
Deptartment of Shalakya Tantra, SMBT Ayurved College and hospital, Dhamangaon, Nashik (MH)
Abstract
In Ayurveda, clinical features related to visual disturbances are generally seen in Drishtigata
Rogas. Hence, all the cases of visual disturbances can be correlated under the broad umbrella
of Timira–Kacha-Linganasha complex. The part of clinical features of Timira (first and second
patalagata) can be correlated with myopia, where there is a complaint of difficulty in seeing
objects distinctly along with headache, eye strain, photophobia and lacrimation. The prevalence
of myopia in Asia is as high as 70-90%. Ayurvedic science can be explored to find a better
alternative to manage this condition. In Ayurveda, there is the concept of Chaksushya
(beneficial for vision) drugs and food items. Local therapeutic procedures for eye have been
grouped under the umbrella of Kriyakalpa by Acharyas and among them, Akshi-Tarpana is the
foremost procedure for Timira which provides Vatashamaka effect to the eyes along with
nourishment. In this study, Akshi-Tarpana was selected with Phalatrikadi Ghrita along with
Poorvakarma and Shamana Chikitsa. This study was carried out on 10 patients for a period of
46 days, in which Poorvakarma, Kostha Shodhana and Nasya (for 6 days), Pradhankarma
Akshi-tarpana (for 5 days into 3 sittings at regular interval of 5 days), Shamana Chikitsa
Saptamrita lauha 250mg BD with Madhu and Ghrita were performed. This treatmemt gives
nourishment and strength to eye muscles and a marked improvement could be found in
symptoms of myopia.
Keywords: Timira, Myopia, Akshi-Tarpana

Corresponding E-mail: dr.rspatel17@gmail.com

Healing effects of Sri Lankan traditional and Ayurvedic medicine in shaft of humorous
fractures with non-union state: a case report
Attanayake AMHS1, De Silva UMGD2, Jayaweera JAAS3

1
Bandaranaike Memorial Ayurveda Research Institute, Maharagama, Sri Lanka
2
District Ayurveda Hospital, Panvila, Sri Lanka
3
Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka
Abstract
In Ayurveda, Sushruta Samhita describes Bhagna Chikitsa (treatments for fractures). Sri Lanka
has a well-established traditional orthopedic treatment system (Kedum Bindum Vedakama).
Shaft of humerus fractures are common over middle one-third. It is common in adults as well
as in children. A 14 year-old child was subjected to a compound fracture over shaft of
humorous. Three months following allopathic treatment, he was presented to Ayurveda for
further management. At the beginning, fracture was aligned and immobilized using “k” wire
(mode of internal fixation) over three weeks and it was removed. The patient presented with
an external wound with wasting of forearm and restricted movements of elbow, wrist and
fingers. Antero-posterior (AP) and lateral (L) views of the X-ray reports showed non-union of
the bones. Total duration of the treatment was 6 months. Initially, all non-united bone
fragments were immobilized for 6 months using bamboo splints. Prior to applying the two
splints over lateral and medial sides of the arm, herbal oils of Seethodaka, Pinda, Narayana
and herbal paste of Katakala were applied. Subsequently, up to 6 months, motor, sensory
function assessment and quality of life assessment with quality of life of the international
osteoporosis foundation (QLIOF) were done following Ayurveda treatment. Initial power of
wrist and fingers was grade 1 and at the end of 6-month it improved to grade 5. The difference
in the QLIOF scores was analyzed using Wilcoxon signed rank test. There was a significant
(p<0.05) difference between the pre-treatment (14) and post-treatment (59) QLIOF scores. The
evidence of AP and L views of the X-ray showed complete heal of the fracture. A study with a
larger population is proposed to assess the efficacy of the given Ayurveda treatment protocol.
Key words: Ayurvedic treatment, fracture healing, nonunion humorous fracture

Corresponding E-mail: harshamed@yahoo.com

Evaluation of the antibacterial effect of Thila Nimbhadi Kalka using laboratory

specimen of Staphylococcus aureus
Karunarathna SBMMM1, Disanayake KGC2

1
Nawinna Bandaranaike Memorial Ayurveda Research Institute, Nawinna, Maharagama, Sri Lanka
2
Department of Cikitsa, Gampaha Wickramarachchi Ayurveda institute, University of Kelaniya, Sri Lanka
Abstract
Drugs from natural sources have been used in the treatment of various diseases since ancient
times. Currently available synthetic antibiotics cause serious side effects and harm vital organs.
Thus it is a need of present society to identify newer antibiotics from herbal sources to prevent
from such serious effects. In compendium of Sushruta Samhita, preceptor Sushruta has
mentioned an important prescription called Thila Nimbhadi Kalka which is used as antiseptic
drug for wound cleansing. The objective of the research was to evaluate the antibacterial
activity of Thila Nimbhadi Kalka (paste of Azadirachta indica, Sesamum indicum and bee
honey) and its squeezed watery extract, by using Agar Well Diffusion method. Staphylococcus
aureus (ATCC25923) was used as bacterial strain for this evaluation. Finely grounded paste of
Nimbha leaves, Thila seed and bee honey were used as sample D1. Squeezed watery extract of
above paste was used as sample D2. These two samples were tested for Antibacterial Sensitivity
Test (ABST), according to the well diffusion method to explore their potent antibacterial
activity against laboratory specimen of Staphylococcus aureus. Zones of inhibition was
measured by scaling and analyzed by statistic package of Minitab software. The mean
inhibitory zone diameters of sample D1 and D2 were 24mm and 21mm respectively.
Accordingly sample D1 showed maximum antibacterial activity against Staphylococcus aureus
and it was within the range of standard sensitivity value of Amoxicillin. Sample D2 also showed
antibacterial activity against above bacterium. But it was not within the range of standard
sensitivity value of Amoxicillin. Amoxicillin is normally used as an oral antibiotic for bacterial
infections. However Thila Nimbhadi kalka was in standard sensitivity similar to Amoxicillin.
Hence it can be highly accepted as an extrinsic local antibacterial application in the
management of infected wound.
Keywords: Antibacterial activity, Thila Nimbhadi Kalka, Staphylococcus aureus

Corresponding E-mail: karunarathnamekhala@gmail.com

Clinical efficacy of Pathyakshadhathree Kashaya and Triphala Ghritha in the

management of Ananthavata with special reference to tension type headache
Liyanage RP1, Karunarathne HKBMS2, Hettige SS1

1
Manasa Ayurveda Hospital, Neelammahara, Boralesgamuwa, Sri Lanka
2
Abstract
According to Acharya Charaka's Trimarmiya adhyaya, Shiras is one major marma which seats
for Pranavata, Alochaka pitta and Tarpaka kapha. Imbalance of doshadhatu and mala related
to the Sirasa and Manya pradesha will cause Shiro Rogas such as Ananthavata. Ananthavata
is a benign and recurrent syndrome of headache, neck pain, eye pain and other neurological
dysfunction. In terms of the etio-pathogenesis of the ailment, it co-relates with Tension Type
Headache. The present study shows clinical efficacy of Pathyakshadhathree kashaya (PDK)
and Triphala Ghrita (TG) in the management of Ananthavata. Three separate groups with
randomly selected samples (n=10) were studied for 21 days. Group A was prescribed with
freshly prepared PDK 120 ml twice a day. Group B was prescribed with TG 30 ml twice a day.
Group C was prescribed with freshly prepared PDK 120 ml and TG 30 ml twice a day. The
assessment criteria were based on the symptomatic features with their frequencies and
assessments were done before and after the treatments respectively. Clinical assessment of A
showed significant result in headache, neck pain, lessened the frequency of headaches and
sleeping disturbances, at p<0.001. Group B showed significant results in eye ache with 60%
relief, at p<0.001 and significant result in neck pain and irritability with relief of 60% and
59.56%. Also sleeping disturbances were lessened in 80%. Group C showed significant results
as compared to both the groups. Frequency and duration of headaches reduced in 80%, at
p<0.001. Tridoshashamaka, Snayudrudakara, Shulahara, Mrudu Virechaka and Rasayana
properties of TG and PDK may be effective on Srotas which relate to the Manokarma,
Chakshuyindriya and Manya Pradesha. Especially Vata pacifying property of TG may show a
significant result in prognosis. All groups showed prognosis in Ananthavata but overall effect
of combination of both the medicine in Group C showed highly significant results when
compared.
Keywords: Ananthavata, Pathyakshadhathree Kashaya, Triphala Ghritha

Corresponding E-mail: liyan20@ymail.com

Series of case studies on the efficacy of traditional treatment modality in the

management of Carpal Tunnel Syndrome
Pramodani MPN, Wickramarachchi WJ

Abstract
Carpal Tunnel Syndrome or median neuropathy at the wrist is a disabling condition present in
3.8% of the general population. The condition is characterized by the compression of median
nerve at the wrist leading to paresthesia, numbness, pain and muscle weakness in the hand.
Treatment in allopathic medicine includes the use of anti-inflammatory drugs, diuretics and
surgery which may lead to persistence of symptoms for prolonged period or the recurrence of
the symptoms. Therefore, it requires some therapy which can cure the syndrome with minimum
intervention; Ayurvedic principles and management play a vital role in the treatment of Carpal
Tunnel Syndrome. Thirty patients with Carpal Tunnel Syndrome were selected randomly
irrespective of their age, gender, chronicity, occupation etc. and treated with Nikadi Taila
Abhyanga, Nikadi Patra Pottali Sweda followed by application of Siyabaladi Lepa mentioned
in traditional medicine, daily for a period of one month. The assessment was carried out on the
basis of relief found in the cardinal signs and symptoms of the disease adopting Likert scale,
depending upon their severity. The clinical trial showed remarkable reduction of pain,
numbness and tingling sensation which were found to have p value of < 0.05 which was
statistically significant. Therefore, it can be concluded that the selected treatment modality is
effective and safe in the management of Carpal Tunnel Syndrome.
Keywords: Carpal Tunnel Syndrome, median neuropathy, Siyabaladi Lepa

Corresponding E-mail: pramodani@ayu.lk

The effect of Suthra Nethi Karma on “Migraine”
Fernando WSN, Wickramarachchi L

Gampaha Wickramarachchi Ayurveda institute, University of Kelaniya, Sri Lanka
Abstract
Migraine is now recognized as a common chronic condition. Migraine usually presents before
the age of 40. The cause of migraine is not yet completely understood. Many medications have
been tried and a lot of research have been undertaken. Migraine is described as
“Ardhavebhedaka” in Ayurveda classics. It is defined as “Ardha Mastak Vedana”. One of the
six Shadhkarma is “Nethi Karma” and Suthra Nethi Karma is one of the Nethi Karma. It
cleanses the cranium and bestows clairvoyance and exert a profound physiological effect on
the body, mind and personality. The purpose of this review was to study the effect of Suthra
Nethi Karma in the management of migraine. Conceptual study was done using Ayurveda and
various Yoga texts. According to Ayurveda Ardhavabhedaka affects half part of the head and
causes different types of pain for a short duration and recur in 3-5-10-15-30 days (interrupted
pain) and is associated with vertigo. This Shodhana Karma acts on the physical level irrigation
of the nasal mucosa and removes accumulated mucus from the nostrils, associated passages
and sinuses allowing air to flow without obstruction. It releases emotional tension and promotes
a balance between the left and right nostrils and consequently the right and left hemispheres of
the brain. This induces a state of harmony and balance throughout the entire central nervous
system and other systems. This induces a reversal in the flow of the nerve impulses to and from
the brain bringing out stimulation and awakening of the brain centers. It can be concluded that
Suthra Nethi Karma is a head purification technique and is effective in the management of
migraine.
Keywords: Ardhavabhedaka, Shadhkarma, Suthra Nethi Karma

Corresponding E-mail: sachinthafernando1212@gmail.com

Application of special Ayurvedic treatment procedures for enhancement of beauty of

Uttamanga
Punchihewa SG
Ayurvedic Medical Officer, National Ayurvedic Teaching Hospital, Rajagiriya, Sri Lanka
Abstract
The human being the most complexed creature in the world, who has excellent brain functions
including the ability of literacy, speaking, thinking, creativity, sensibility, technical knowledge
and many more. With the evolution of the world, God Mahabrahma presented this unbelievable
gift to the mankind. Since then the human used and exploited his brain to fulfill his needs and
appetence, not only for constructive purposes but also for destructive purposes changing this
world to its present state. As a result, people are suffering from numerous medical problems
which further develop competitiveness, sedentary and comfortable life style, stress and
unsatisfied egos etc. Among all these countless disorders we have to focus our prime attention
on the problems which affect Uttamanga (Head). skin, Nethra (eye), Karna (ear), Nasa (nose)
and Mukha (mouth) are the main doors which influence the brain and lead not only for the
causation of Urdhva-chatrugata diseases but also for other physical illnesses.‘Stress’ is a
mental condition which can destroy the man within few seconds. Most non-communicable
diseases and occupational diseases too are stemming from these organs as a result of stress.
The essence of Ayurveda system explains clearly the possible stratergies to be followed; the
treatments to prevent and overcome all such diseases, by using these powerful therapeutic
techniques. For an instance Shiromurdha Thila treatment (for head), Vakthra Vimardhana (for
face), Akshi Tharpana (for eyes), Karna Poorna (for Ear), Nasya (for nose) and so on.
Ayurvedic medicine has a wonderful therapeutic methods which revealed primary importance
in self - care and self - healing individualized system. The preventive measures of Urdhva-
chathrugata diseases from great Vedic tradition must be explored.
Keywords: Uttamanga, Urdhva-chatrugata, stress

Corresponding E-mail: dr.sulekhagp@gmail.com

Ayurvedic management of Branch Retinal Vein Occlusion: a case study
Abegunasekara NS, Peiris KPP

Yakkala, Sri Lanka
Abstract
Branch Retinal Vein Occlusion (BRVO) is one of the major causes of sudden painless loss of
vision after diabetic retinopathy. Two third of patients with ischemic BRVO are prone to
blindness.There has been no treatment identified so far to reverse open the blocked vessels to
maintain perfusion and the available treatment modality (laser photocoagulation) is not
effective in the absence of macular perfusion. The purpose of this study was to evaluate the
efficacy of selected Ayurveda modalities in the management of BRVO and to study the
pathogenesis of BRVO. A 68 year-old male patient with unilateral BRVO reported to the
Shalakya clinic, having a visual acuity 3/60 in right eye and 6/24 in left eye with distorted
vision and visual field defect. His near vision was CF in right eye and N8 in left eye. The patient
did not have any other complications such as diabetic, hypertension or any other systemic
disease. He was administrated with selected Ayurveda modalities for three (03) months
continuously. Treatment protocol consisted of local and systemic therapies. After 14 days of
therapy, there was marked improvement of visual acuity. At the end of follow-up period
complete remission of symptoms was observed. Thus it is concluded that the treatment protocol
which was used to treat the patient was effective in the management of BRVO.
Keywords: BRVO, visual acuity, near vision

Corresponding E-mail: nadeeabegunasekara@gmail.com

Antibacterial activity of two different Prathisranas against periodontitis
Abegunasekara NS1, Peiris KPP1, Sudesh ADH2

1
Yakkala, Sri Lanka
2
Abstract
‘Kushtaadi Choorna and Shwethamanjana Choorna’ are used in the treatment of

Danthamulagatha Roga such as Sheethada, Danthaweshta and Upakusha. These formulations
were used specially as a local treatment. Staphylococcus aureus and Methicillin resistant
Staphylococcus aureus (MRSA) are main causative organisms of periodontal diseases. The
present study was carried out to determine the antibacterial activity of Kushtaadi choorna and
Shwethamanjana choorna using agar well diffusion method in comparison with standard
antibiotic; Amoxicillin against the Staphylococcus aureus (ATCC 25923) and Methicillin
resistant Staphylococcus aureus (MRSA). The samples of Prathisarana were prepared in fine
powder form, Amoxicillin as positive control and triplicates were made for each test.
Observation was recorded by measuring the diameter of the inhibitory zones surrounding the
wells. According to the results, inhibitory effect of both Prathisarana samples were significant
for Staphylococcus aureus and Methicillin resistant Staphylococcus aureus (MRSA).
Keywords: Kushtaadi Choorna, Shwethamanjana Choorna, Danthamulagatha Roga

Corresponding E-mail: drpriyani@gmail.com

A randomized single blind comparative trial to evaluate the efficacy of whole plant of
Phyllanthus niruri Linn. crude powder with Ayurveda crude powdered drug
Pushyanuga Churna in the management of Rakta Pradara due to
Dysfunctional Uterine Bleeding (BUD)
Perera HARP1, Karunagoda K2, Perera PK3, Samarasingha K4, Arawwawala LDAM4
1
Department of Kaumarabhrithya and Striroga, Gampaha Wickramarachchi Ayurveda Institute, University of
2
Department of Kaumarabhrithya, Prasuthi Tantra and Stree Roga, Institute of indigenous Medicine, University
of Colombo, Rajagiriya, Sri Lanka
3
Department of Drvyaguna Vignana, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri
Lanka
4
Industrial Technology Institute, Bauddhaloka Mawatha, Colombo 7, Sri Lanka
Abstract
According to Ayurveda, Raktapradara has been explained under Artava Vyapad. It resembles
with menorrhagia explained in allopathic medicine. Dysfunctional Uterine Bleeding (DUB) is
an abnormal uterine bleeding without any obvious structural or systemic pathology.
Bumyamalaki (Phyllanthus niruri. Linn) has been recommended in the management of
Raktapradara with rice washed water. Pushyanuga Churna was selected as positive control
drug for DUB. Female patients in the age between 12-50 years who were diagnosed with
Raktapradara due to DUB were included in the study. A total of 60 patients were randomly
divided into group A and group B with 30 patients in each. The study aimed at evaluating the
comparative effect on the amount of blood loss, duration, intermenstrual period and pain
relieving property and ability to relief its associated symptoms such as Angamarda and Arati.
The observed values of Hb%, BT, CT platelet count, urine and endometrial thickness before
treatment was within normal ranges. Data were collected and recorded before the trial and three
follow ups monthly with treatment within the trial and after one month without treatment were
done. At the last follow up all investigations were again repeated to analyze if any changes
were seen after the therapy. The t-test was applied to the mean of observed values before and
after treatment. P. niruri. made to evaluate phyto and physico-chemical properties and anti-
oxidant activity of P. niruri grown in Sri Lanka. The improvement parameters were significant
statistically (p<0.05). According to the results, 7.7±0.2% of total ash, 3.4±0.1% of water
soluble ash and 0.9±0.0% of acid insoluble ash were present in the whole plant of P. niruri.
Phytochemical screening reveals the presence of tannins, flavonoids, steroid glycosides,
coumarins, saponins and cardiac glycosides in both hot water and hot methanolic extracts of P.
niruri. TLC fingerprint profile of the methanolic extract of P. niruri consists of 8 and 9
prominent spots at 254 nm and 366 nm respectively. These results can be used as a reference
standard for quality control of P. niruri grown in Sri Lanka. The anti- oxidant activity of P.
niruri powder has P<0.05 which can be regarded as significant.
Keywords: Herbal preparation, precancerous lesion.

Corresponding Email: shuklavidhi427@gmail.com

Effect of herbal tooth formulation on plaque deposition: a comparative pilot study
Rupasinghe RAAN, Peiris KPP

Yakkala, Sri Lanka
Abstract
Ayurveda and Sri Lankan traditional medical system devote a significant importance to oral
health problems on its preventive aspect rather than curative. The proposed herbal formulation
is specified as a dentifrice in Talapathe Piliyam. But it has not been scientifically evaluated.
Therefore, this study was carried out to evaluate the effectiveness of reducing plaque
accumulation on teeth, maintenance of oral hygiene and compare the efficacy of powder with
the novel toothpaste. The formation in different forms (paste and powder) was prepared at the
laboratory of Sri Lanka Ayurvedic Drug Cooperation, Navinna, Sri Lanka. Thirty patients were
selected with written consent from Shalakya OPD by using specific proforma. They were
randomly divided into two groups; group A and B (15 patients in each) irrespective of their
sex, age, habitat etc. Group A was advised to brush twice a day for two weeks by using the
toothpaste and group B from the same formation as powder. Oral Hygiene Index (OHI) and
Plaque Index (PI) were used as an objective criteria. The OHI of group A varied as Poor (3.1-
6.0) 66.67% , Fair (1.3-3.0) 33.33% and Good (0.0-1.2) 0% prior to the trial and showed as
Poor 0%, Fair 86.6% and Good 13.33% after the trail period. In group B; Poor 20% , Fair 80%
and Good 0% prior to the trial and showed as Poor 0% , Fair 93.37%, good 6.67% after the
trial. The PI of group A varied as Poor (2.0-3.0) 66.67%, Fair (1.0-1.9) 33.33%, Good (0.1-
0.9) 0% and Excellent (0) 0% prior to the trial and showed as Poor 0%, Fair 80% , Good 20%
and Excellent 0% after the trial period. In group B; Poor 46.67%, Fair 53.33%, Good 0% and
Excellent 0% prior to the trial and showed as Poor 0%, Fair 80%, Good 20% and Excellent
0% after the trial. Thus, it can be concluded this toothpaste is more effective in comparison to
the tooth powder. However, a long term study would confirm the result of the study.
Keywords: Herbal tooth formulation

Corresponding E-mail: nuwanthika12@gmail.com

Clinical efficacy of indigenous Patrapottali Sweda (Heenudupiyaliya Tavilla) in the

management of Sūryavarta
Thennakoon TMDM, Sakunthala HS

Department of Drvyaguna, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
Abstract
Sūryavarta is one type of Śiroroga out of eleven Śirorogas explained in Ayurveda classics. This
pathological condition ischaracterized by its cardinal feature of headache. Headache is found to be
starting at the time of sunrise, with pain in the eyes and eye- brows, gradually increasing in severity
with the upward movement of the sun and slowly reducing by the time of sunset. Fontal sinusitis is a
special type of headache (Śirahsūla) that changes according to the intensity of the sun rays. Headache
is defined as a result of specific changes within the brain. It causes severe pain in the head that is often
accompanied by sensitivity to light, sound, or smell. Migraine affects approximately 15% of people. It
most often starts at puberty and is worst during middle age. Prevailing treatments of migraine are not
successful due to its recurrence. In view of magnitude of problem, it is important to drain the sinuses
by removing the pathology with sustained effect and reduced recurrence. The present study was done
to evaluate the efficacy of Patrapottali Sweda (Heenudupitliya Tavilla) in the management of
Sūryavarta (Frontal sinusitis ).Thirty patients between 15- 60 years were selected from the OPD
Gampaha Wickramarachchi Ayurveda Teaching Hospital on the basis of sign and symptoms. The
selected patients were divided in to two equal groups through random sampling method. The control
group (GA) was treated with Patyakshadhatri Phanta (PD) and Seetarama Vati (SV). Treatment group
(GB) received Pottali Sweda for four weeks daily morning and evening regularly with PD and SV. The
assessment was carried out on the basis of relief found in the cardinal signs and symptoms of the disease
adopting scoring depending upon their severity. Data analysis was done according to independent
samples Mann – Whitney U test. Significant reduction in pain was observed at the end of the study with
p<0.05.When comparing overall results of both groups, it revealed that group GB was statistically
significant with regard to the reduction of complaints and clinical signs basis group GA. There were no
adverse effects reported during the study. Therefore, it can be concluded that the selected treatment of
Patrapottali Sweada is effective in the management of Sūryavarta.
Keywords: Pottli Sweda, Sūryavarta, frontal sinusitis

Corresponding E-mail: ransupul1961@gmail.com

Role of three Ayurveda regimen in the management of scaling condition of Sidhma

Kushta (Psoriasis)
Jayakody JADPP1, Seneviratna NAKPJ2, Akarawita JKW3

1
2
Faculty of Science, University of Kelaniya, Sri Lanka
3
National Hospital of Sri Lanka, Sri Lanka
Abstract
Psoriasis, generally referred to as 'Potu Kabara' in Sri Lanka, corresponds with Sidhma Kushta
in term of a number of distinguished symptoms elaborated in Ayurveda classics. This study
aimed at evaluating the efficacy of three Ayurveda regimen in the management of scaling
condition of Sidhma Kushta. The study was carried out at the skin clinic of Gampaha
Wickramarachchi Ayurveda Teaching Hospital, Yakkala, Sri Lanka. One hundred and five
patients were selected and randomly divided into three equal groups; A, B and C. All were
given selected Ayurveda regimen as an internal mode of therapy while separate external
applications viz. EA1 (Takradhara), EB2 (Takra Lepa) and EC3 (Raw herbals boil water) were
given separately for each group for a period of three months. Healing effect was monitored by
observing the clinical symptom of scaling. Data were collected by using PASI scale. Clinical
outcomes were statistically analyzed using a non-parametric test, Wilcoxon Sign Rank Test
and parametric tests such as ANOVA, Paired t-test, Pooled t-test. All the treatments given in
three groups positively responded from the first week for the symptom of scaling of the patient's
head, upper limb, trunk and lower limb. (P-value 0.000 for each group). It can be concluded
that all three treatments can be effectively used in the management of the symptom of scaling.
Keywords: Sidhma Kushta, Ayurveda, psoriasis, Takradhara

Corresponding E-mail: jayakodypushpa722@gmail.com

Ayurveda management of chronic headache: a case report
Kamini Dhiman
Dept. of SRPT, All India Institute of Ayurveda, New Delhi
Abstract
Chronic headache is termed as a headache experiencing for fifteen or more days per month. It
is estimated that chronic headache affects 4% to 5% of general population. A 58 year- old
working woman visited for Ayurveda management with the complaint of headache with
insomnia. Her history and clinical examinations revealed that she was having history of being
unable to sleep and headache for last 4 -5 years. She was being treated at Modern Medical
Institute, New Delhi for last 3 -4 years. Sedatives and pain killers had been prescribed to her
and had taken since the treatment started from modern hospital. Being within the age group of
menopausal age, she was given counseling and Ayurvedic management based on Ayurveda
principles. Within weeks of Ayurveda management she received relief and all the allopathic
medicines were gradually withdrawn.
Keywords: Chronic headache, insomnia, menopause, Ayurveda management

Corresponding e-mail: dg-ccras@nic.in

Concept of e-governance in higher education: a model proposed to be implemented at

Gampaha Wickramarachchi Ayurveda Institute
WAD Chithrananda1, UGJR Udagedara2, DSR Wijewardana1, Dissanayake SARRP3

1
Administrative Branch, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
2
Examinations and Student Welfare Branch, Administrative Branch, Gampaha Wickramarachchi Ayurveda
Institute, University of Kelaniya, Yakkala, Sri Lanka
3
Abstract
This paper is an approach that encompasses processes and a proposed model designed to
promote the quality of Ayurveda education at Gampaha Wickramarachchi Ayurveda Institute.
There has been considerable increase in the number of students enrolled and number of study
programmes offered at Gampaha Wickramarachchi Ayurveda Institute. Therefore, it has
become very important for the administrators to keep track of their functioning. The Institute
has various requirements that include computerization and management of processes such as
clinical, academic and administrative functions. If the quality of our Ayurveda education
system has to be improved to make this Institute really world class, there is no alternative to
the introduction of the concept of e-governance in this sphere at the fastest possible pace. The
proposed model aims at using fundamental elements of e-governance in Ayurveda education
to provide new ways of approaching academic and administrative activities at the Institute.
Three basic tools are used in implementation of the proposed model; Innovative Academic
Tools, Private Public Participation and Centralized Information. The proposed model will be
implemented through a framework consisting of well-defined Structures, Processes and
Relational mechanisms. Several prerequisites have been identified for project implementation
including senior ICT decision-makers, improved communication between central and
departmental ICT groups across, and communication between ICT personnel, top management
and other stakeholders. Heavy financing would be one of the biggest issues for e-governance
implementation. Benchmarking of proposed framework includes several elements of criterion
including development of human resources, development of administrative activities, research
and academic activities, innovation and transfer of knowledge, good governance and
sustainability of the system. The project is proposed to be assessed on completion of its
implementation. It is believed that the concept of e-governance can be effectively used in
planning, implementation, and monitoring of Ayurveda educational programs and other
activities of Ayurveda higher educational institutes.
Keywords: e-governance, Innovative Academic Tools, Private Public Participation,

Centralized Information
Corresponding E-mail: chithranandaweerasekara@gmail.com

Management of retinal diseases in Ayurveda
Sreekumar K
Department of Shalakyatantra, Govt. Ayurveda College, Tripunithura, Ernakulam, Kerala
Abstract
Retina, one of the most sophisticated nervous tissues, which receives blood circulation from
the duel system central retinal artery and choriocapilleries are prone to many systemic as well
as local diseases. The diseases manifesting in the retina mainly include those of congenital,
vascular, degenerative and inflammatory. Many of the systemic diseases like diabetes,
hypertension and viral diseases also lead to retinal complications. In Ayurveda, retina can be
considered as the seat of Alochaka Pitta which performs its function with the help of Pranavayu
and Tarpaka Kapha. So the harmonies of all these Tridoshas are essential to manage the retinal
pathologies. Even though these Doshas are located in retina, the main base (Vishesha Sthana
of Doshas) is not retina. In order to tackle the deep seated pathology, the Moolasthana Chikitsa
of these Doshas should be performed. In Ayurveda, in terms of the visual disturbances, field
defects and pathophysiology, many of the retinal diseases can be included under the twelve
types of Drishtigata Rogas. As there is no common line of management for these types of
diseases in Ayurveda, an attempt has been made to explain the management of retinal diseases
treated as per Ayurvedic principles. In addition to Snehapana, Virechana, Nasya and Netra
Kriyakalpas, the treatment modalities like Ksheerabasthi, Yogabasthi, Rakthamokshana,
Shirolepa and Moordha Tailas are also essential to manage these retinal pathologies. In
diseases like proliferative diabetic retinopathy, Ksheeraseka and Ksheerabasthi are highly
useful while in macular degenerations, the role of Yogabasthi and Shirobasthi is beneficial to
manage the underline pathology.
Keywords: Retinal diseases, Drishtigata roga, Netra Kriyakalpa

Corresponding E-mail: drsreekumarmsayu@yahoo.co.in

A clinical study on Computer Vision Syndrome
Ganga MP1, Narayan Bavalatti2, Manjusha R2

Department of Shalakyatantra, Nadiad, Gujarat, India
Department of Shalakya, All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi – 110076, India
Abstract
Computer has become a household gadget in the present era, found in almost all aspects of life
and its convenience has brought with it the disadvantages as with any invention of human
civilization. With progressive increase in the usage of computers, the term Repeated Stress
Injury (RSI) has found place in the contemporary medical science. The incidence of Computer
Vision Syndrome is as high as 50%-90% among the employees of computer profession.
Computers have increased the work efficiency, communications and have opened access to
information like never before. Despite these contributions to the society, prolonged exposure
to Video Display Terminals (VDT's) has been the cause of a visual and ergonomic disorder
called "Computer Vision Syndrome" (CVS). Symptoms of Computer Vision Syndrome are
caused by ocular (ocular-surface abnormalities or accommodative spasms) and / or extra ocular
(ergonomic) etiologies. It is out of question to verify the existence of similar condition of
“Computer Vision Syndrome” in ancient documents, as the ailment is the consequence of
modern invention. But there is a room to understand the disease from Ayurvedic perspectives
and to methodically apply Ayurvedic remedies for the modern ailment. In this clinical study
on “Computer Vision Syndrome”, a total number of 55 patients were registered and out of
these, 53 patients completed the whole treatment. The general observations and the effect of
therapy quoted include the data of 53 patients who have completed the entire course of
treatment. Oral administration of Saptamrita Lauha tablets, 500 mg BD/day with unequal
quantity of Madhu , Ghrita and Triphala eye drops one drop in each eye, 4 times/day for 30
days has found to be effective in the management of CVS.
Keywords: Computer Vision Syndrome, Triphala eye drops, Saptamrita Lauha

Corresponding E-mail: gangupatil2001@rediffmail.com

Poster Presentations


Preparation of Karam from the mid stem of the Musa acuminata as Nasiyam in the
treatment of Nasikapeedam (Nasal polyposis)
Tharshika S1, Ajanthan T2, Athavan V2, Rasalingam S1, Thayalini T2

1
Department of Chemistry, Faculty of Science, University of Jaffna
2
Unit of Siddha Medicine, University of Jaffna
Abstract
In Siddha Medicine, most of the herbs are used in the preparation of Siddha drugs. In ancient
time surgery was carried out by Siddha Physicians using Kara liquids. Nasikapeedam (Nasal
polyposis) is one of the common diseases in Siroroga Maruththuvam (diseases of neck and
above). Nasiyam (nasal drops) is one of the treatment methods for head disorders. Herbal
juices, herbal oils, herbal drugs which are prepared with herbs are used as Nasiyam through
nasal cavities. Mid stem of Musa acuminata, dried peel of M. acuminata and peel of ash
plantain have been used to prepare Karam in the treatment of Nasikapeedam. Nasal polyposis
is a surgical condition, which is related to allergic conditions. In Siddha medicine,
Karapirayokam is used to remove the mass from elsewhere. The aim of this study was to
prepare the Karam from the mid stem of the M. acuminata used in the treatment of
Nasikapeedam. Mid stem of M. acuminata was obtained from the field of banana in Kaithady
area. The stem was cut into small pieces and dried under sunshade for 2 weeks. After that, the
dried stem was stored in polythene bags. The ash was prepared from the stem by air burning.
The obtained ash was weighed in appropriate amount and washed with 50 ml of water. The pH
of the supernatant solution was measured using pH paper and was further confirmed by the pH
probe. The procedure was repeated for 7 times. The results obtained for pH were as follows;
12.06, 11.78, 11.38, 10.97, 10.78, 10.67, and 10.59. The pH measured was within the
acceptable range for external use, and, thus, it can be concluded that the Karam from the M.
acuminata could be used in the treatment of Nasikapeedam. Clinical trial should be carried out
to determine the efficacy of the Karam in the treatment of Nasikapeedam.
Keywords: Nasikapeedam, Karam, Musa acuminata

Corresponding E-mail: 21athavan@gmail.com

A literature review on management of Arsha with special reference to Ayurveda
Nilani KKA
Department of Swasthavritta, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri
Lanka
Abstact
Arsha is one of the maharoga among eight maharogas. Some types of Arsha are correlated
with hemorrhoids. Arsha symptoms develop more than half of men and women during their
lifetime. Arsha is defined as 'arivat pranan hanti' causing discomfort, pain and bleeding. The
aim of this literature study was to review on management of Arsha. Vruhattraya and other
Ayurveda classics were referred to collect data. According to Sushruta, Ashtanga Samgraha
and Ashtanga Hridaya Samhita, there are four types on management of Arsha; Bhesaja
(medicines), Kshara (caustic alkalis), Agni (fire cautery) and Shastra (sharp instruments).
Having mild dosas aggravation, symptoms, complications and short term Arsha are treated
with medicines. Soft, broad, deep, bulged up Arsha are treated with Kshara. Rough, immovable
and hard Arsha are treated with fire and thin root, bulged up while exuding Arsha are treated
with sharp instruments. Medicinal treatments recommended for Arsha do not cover the
complete process of Arsha Samprapti. To prevent forming Arsha and in pathya and apathya in
Arsha disease Caraka Samhita and Bhava Prakasha mentioned the use of medicines, food and
beverages which help to increase downward movements of flatus and stool. In Ayurveda, with
the main treatment, some other measures are also used like fomentation, sprinkling, bath,
smearing and fumigation, ointment, blood-letting (repeated application of leeches or sharp
edged instruments or needles), enema (anuwasana, niruha, piccha), cooling therapy, rubbing
in management of Arsha. The conclusion of this study is that different treatment modalities are
used according to the type and stage of Arsha.
Keywords: Arsha, Vruhattraya, maharoga

Corresponding E-mail: ayeshanilaniayur@gmail.com
A study on efficacy of Patha oil Nasya in the management of Dushta Pratishyaya
Sooriyakumar A, Samarakoon SMS

Rural Ayurveda Hospital, Nainamadu, Vauniya
Department of Deshiya Chikitsa, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri
Lanka
Abstract
Dushta Pratishyaya (DP) is a type of Pratishyaya which is mainly a Kapha dominant disease.
When Pratishyaya becomes chronic, it is termed Dushta Pratishyaya. Based on
symptomatology, DP could be correlated with sinusitis which is an inflammatory condition of
the sinuses. This study is a randomized comparative clinical study on DP to evaluate the effect
of Patha Oil Nasya (PON) in its treatment. The selected patients were randomly divided into
two equal groups; Group A and Group B. Group A was treated with PON (pratimarsha) daily
in the morning for seven days. All the symptoms were graded and evaluated before and after
treatment. Data were analyzed by using SPSS statistical software system. Patha oil Nasya
improved pain tenderness over frontal region, nasal block and anosmia in statistically highly
significant manner (p<0.001). The ingredients of Patha oil consist of Kashaya, Tikta and Katu
rasa, Ushnavirya, Katuvipaka and Laghuguna. Total effect of PON is of kaphashamaka. The
PON has anti-inflammatory, antiseptic, astringent, analgesic and anti-histamine effects which
may relieve the symptoms of Dushta Pratishyaya. Finally, it can be concluded that PON is
effective on Dushta Pratishyaya.
Keywords: Dushta Prtishyaya, sinusitis, Nasya, Patha oil

Corresponding E-mail: bsms.sooriya@gmail.com
Use of Eranda Taila in eyelash extension: a pilot study
Trunali D. Thakare, Kalpana S. Wakode

Department of Shalakya Tantra, Govt. Ayurveda College, Nanded, Maharashtra, India
Abstract
Eyelashes are one of the most important features of our faces; they don’t just add beauty and
dramatic expression to our eyes, but also protect from dust and other particles which may cause
injuries. People believe that long and thick lashes are a universal symbol of beauty. Michael
Cunningham, a Psychologist, who studied physical attractiveness reports that, “Large eyes with
lush lashes signify youthfulness”. Many people consider long eyelashes as a sign of good health
and fertility. Therefore, many women and men desire to have them. Unfortunately, not all of
us are blessed to be born with natural long and thick eyelashes. This is the reason people use
many of the beauty products such as mascara, fake eyelashes, eyelash growth supplements, just
to have good looking eyelashes. But these products can cause irritation, allergies and many
other side effects. Many people, therefore, hesitate to false eyelashes, other eyelash growth
products and are switching to natural products. As for growing thicker, longer and darker
eyelashes, one of the best and natural solutions is the use of Eranda taila. Present attempt was
made to establish the use of Eranda taila at Department of Shalakya Tantra in Government
Ayurveda College, Nanded, and Maharashtra, India. For this study, ten healthy patients, both
male and female, were selected. Eranda Taila was applied at baseline of the eyelash with the
help of mascara/eyeliner brush. This Taila is Madhura Rasatmak as well as it is Tikshna
Gunatmak, because of which it can reach the minute channels. Thus it helps by penetrating
deep from the skin and facilitates hair growth. It is observed that Eranda taila effectively works
on eyelash.
Keywords: Eranda Taila, eyelash, eyelash extension

Corresponding E-mail: tinuthakare28989@gmail.com
Chakshushya Dravya guidelines for health promotion of eyes
Ramteke RB, Vaijwade AP

Department of Shalakya Tantra, Govt. Ayurved College, Nanded, Maharashtra, India
Abstract
Various Chakshushya Dravyas have been described in Ayurvedic literature both in Bruhatrayi
and Laghutrayi. Bhavprakash Nighantu is one among these Samhitas of Laghutrayi. This
Bhavprakash Nighantu mainly deals with Dravyaguna. Due to its Karmapradhanya,
Bhavprakash Nighantu was selected for this study. Two types of Chakshushya Dravyas have
been described in this Nighantu, one of which is Chakshuhitakaraka i.e. beneficial for eyes,
the other one, Chakshurogahara, is used for treating eye disorders. However, the effect of
Chakshushya Dravyas on Chakshurindriyas has not been elaborated by any author. The present
study is a critical analysis on Chakshushya Dravyas and their line of action on the basis of
Rasapanchaka. In the generation of 4th antibiotic, Chakshushya dravyas will defiantly help in
the protection of eyes and prevention of eye diseases.
Keywords: Chakshushya dravya, Bhavprakash nighantu, Chakshu

Corresponding E-mail: rupaliramteke78@gmail.com
A study of pharmacodynamical action of facial skin care herbs: a review
Sivagowri S
Department of Ayurveda, Free Ayurvedic Dispensary Kondavil Nallur Pradeshiya Sabha, Jaffna, Sri Lanka
Abstract
Facial skin, an important and prominent part of the human body, is affected by internal and
external causes. Traditional medical practitioners widely use herbs either single or in
combination with several herbs. Some herbs are easily available and commonly used in daily
life such as Aloe vera, Azadirachta indica and Curcuma longa. Ayurveda explains properties
and actions of the herbs (rasa, guna virya, vipaka, karma) and temperament of human body
(Prakriti). The general objective of this study was to assess the pharmacodynamical action of
the facial skin care herbs (Aloe vera, Azadirachta indica and Curcuma longa). A review of
existing research was carried out using Pub Med, Google Scholar, Medline and Science Direct
electronic databases and other related books. Accordingly, majority of the review articles
elaborate animals’ studies rather than clinical research. The study designs have not been
properly incorperated into clinical studies. These herbs show evidence of pharmacodynamical
effects; Aloe vera is used in the treatment of skin protection from ultraviolet radiation, which
shows anti-aging effect, anti-acne effect and skin protection from infections and anti-
inflammatory effects. Azadirachta indica has anti-inflammatory and anti-acne effects and it
has been used for skin protection from infections. Curcuma longa is used for skin protection
from ultraviolet radiation and infection which shows anti-aging effect, anti-acne effect and anti-
inflammatory effects. These herbs (Aloe vera, Azadirachta indica and Curcuma longa) have
effective pharmacodynamical action on the facial skin. Therefore these herbs are
therapeutically useful in skin disorders. Further clinical studies are recommended with
appropriate study design, adequate sample size for scientific evaluation of these herbs.
Keywords: Aloe vera, Azadirachta indica, Curcuma longa

Corresponding E-mail: sivagoeribsms@gmail.com
A Siddha review of fistula
Tharshanodayan NJQ, Rohini P

District Ayurvedic Hospital, Mannar, Sri Lanka
Abstract
Fistulas were formerly associated with considerable mortality rates. The World Health
Organization (WHO) estimates that there are 50,000-100,000 new cases of fistulas every year.
The three humours maintain the upkeep of the human body through their combined functioning
and when deranged they bring about peculiar effects. Siddha system of medicine can create
great hope for controlling the fistula. It is considered that many such diseases have multiple
etiologies; hence a multipronged approach is more suitable in their management. A detailed
description about Pakanthiram is present in ancient Siddha text “Pararagasasegaram” and
“Siddhar aruvai maruththuvam” with symptomatology, their curative and preventive
measures. This review explains the basic understanding and description of pakanthiram
(Fistula), symptomatology of which resembles with symptoms of fistula and, classification of
Pakanthiram. Data was collected from ‘Pararasasegaram’ and ‘Siddhar Aruvai
Maruththuvam’ about ‘Pakanthiram’ related to modern aspect. The data was analyzed
according in terms of allopathic system. ‘Pararaasa Seagram’ has classified fistula in to six
major groups; Moola Pavunthiram, Suroni Pavunthiram, Yoni Pavunthiram, Pavunthira Odu,
Thaarai Pavunthiram and Vilai Pavunthiram. The first four major groups have been related to
the perennial region. Thaarai Pavunthiram is concern with artery and vein. Finally, Vilai
Pavunthiram has been related to the intracranial space and upper spinal cord. The relationship
between the ancient Siddha medicine sagacity and modern classification of fistula bears
striking similarities.
Key words: Siddha medicine, Pakanthiram, fistula

Corresponding E-mail: prohini165@gmail.com
Unani concept of diabetes: a review
Nasmeer MSM, Mawjood AHM, Rifaee MMM, Rizniya MNF

Abstract
Non-healing diabetic wound is the most dreadful complication among diabetic patients which
causes amputation and thus leads to permanent disabilities. Most of the diabetic wound might
end in amputation. The word “diabetes” is derived from Greek language ‘Diabetus’, which
means ‘to run through’ or “Siphon”. This is characterized by hyperglycemia, glycosurea,
increase appetite, excessive thirst and gradual loss of body weight. In Arabic, Diabetes is called
“Diabeta”, “Dolab”, and “Salasulbol” etc. The literature review was done through the available
resources such as authentic ancient literatures, journals and literature source of website
focusing on Unani concept of diabetes. The pathogenesis of “Diabetus Shakri”, its signs and
symptoms, complications have been explained with the details of treatments in a number of
classical texts of Unani medicine. Although “Buqrat” (The Father of Medicine-460 BC) did
not specifically mention diabetes in his “writings” , he has explained similar conditions having
the same signs and symptoms of diabetes such as excessive urinary flow with the wasting of
the body. Arsyatoos was the first who introduced the term “Diabetus” to a condition related to
an ailment and described it as a dreadful affliction as it melted down the flesh and limbs into
urine but stated not frequently found among men. Ibne Sina in his book Al-Qanoon described
the clinical features of the disease precisely and documented the taste of diabetic urine as sweet,
and the complications of the disease as gangrene, loss of sexual function and abnormal appetite.
The clinical features of ‘Diabetus Shakri’ caused by abnormal temperament of the kidney and
the liver are found to be consistent with that of the Diabetes Mellitus in the present day. Thus
‘Diabetus Shakri’ described in the Unani classical texts can be correlated with the condition
Diabetes Mellitus and effectively treated with Unani medicines.
Keywords: Unani concept, Diabetus Shakri, Diabetes Mellitus

Corresponding E-mail: mnmnasmeer19@gmail.com
Evaluation of anti–oxidant properties of a traditional formulae (JB Kalka)
Shifra ASF, Gunasekara GVMTD, Kularathna MDCN, Cooray PLJUD, Perera HMP,
Fernando SHS, Sadungama MKNG, Thilakarathna BSD, Kuruppuarachi SN
Saranya U, Rishad YM, Kaluthotage S, Kularathne DABH, Umayanagni LHS
Bandaranaike Memorial Ayurvedic Research Institute, Navinna, Maharagama, Sri Lanka
Abstract
Cancer is a group of diseases involving abnormal cell growth with the potential to invade to
other parts of the body. In Ayurveda, cancer is defined in the term Arbuda, which is categorized
by big, deep seated, immovable, round, slightly painful and slowly increasing Arbuda which is
caused by penetration of increased Doshas into the body tissues and blood. In 2012, about 14.1
million new cases of cancer were reported globally and it caused 8.2 million or 14.6% of deaths.
Though there are several advanced treatment strategies available in the management of cancer
in modern medical system, most of them cause lots of side effects. But JB Kalka is a traditional
preperation which is being successfully practiced by Kottayawatta generation in the
management of cancer without any side effects. This formula was selected to demonstrate
literature review of its all ingredients and to evaluate its anti-oxidant properties and
physicochemical parameters. The JB Kalka was prepared according to the guidelines indicated
by the traditional practitioners. The literature review of all ingredients was compiled from
Ayurvedic classical texts, electronic databases of Google scholar, PubMed and through web
search. As per literature review, JB Kalka has properties of Katu- Thiktha- Kasaya Rasa,
Laghu- Theekshana Guna, Ushna Veerya and Katu Vipaka which regulate Thridoshas by
pacifying Kapha and Vata and increasing Pitta. This study shows an anti-oxidant properties of
JB kalka according to DPPH method by colour change from purple into pale yellow. According
to the quantitative test, methanolic extract of JB Kalka exhibited highest potential for DPPH
radical scavenging activity as it had the least IC50 value of around 1.25 mg/ml. Therefore, JB
Kalka is an effective medicinal preparation to be used in the tratment of cancer as an anti-
cancer drug. But further studies with large sample should be carried out to scientifically justify
the effectiveness of JB Kalka in the management of cancer and to identify an immune
modulatory, cyto toxic and anti-cancer properties of JB Kalka.
Keywords: Arbuda, JB Kalka, DPPH method

Corresponding E-mail: fshifra0@gmail.com
Ayurvedic perspective of the relationship between periodontal disease and

cardiovascular disease
Sadungama MKNG, Madushani PU

Abstract
Periodontal disease is one of the diseases of mouth region, which is also known as ''gum
disease'' and in Ayurveda it falls into the category of ''Dantamoolagata roga''. Periodontal
diseases are infections of the structures around the teeth, which include the gums, periodontal
ligament and alveolar bone. Recent researches have recorded that periodontal disease has been
associated with an increased risk of cardiovascular events and is highly prevalent among
patients of chronic heart failure. Theoritically the inflammatory proteins and the bacteria in the
periodontal tissue that enter the blood stream can cause various effects on the cardiovascular
system. The aim of this study was to interpret the relationship between periodontal disease and
cardiovascular ailments from Ayurvedic perspective.Ayurvedic classics were used as the
primary sources and research papers published on the relationship between periodontal disease
and cardiovascular disease were the secondary sources. Ayurveda has not directly or indirectly
mentioned any relationship between periodontal disease and cardiovascular disease in any text
and no research had been published on the same.In the present study aconceptual pathway was
design where Mukharoga nidana can lead to produce Agnimandaya due to vitiated Kapha
dosha, Pacaka pitta and Raktha dhatu. Ama produced due to Agnimandya can create an
unwholesome biochemical atmosphere that is friendly for growth of pathogenic bacteria and a
mixture of inflammatory proteins that can be harmful. The bacteria found in periodontal disease
play a role in strokes that spreads to the heart. When Amavisha enters the Raktha Dhatu it acts
as an antigen and produces antigen-antibody complex that leads to cellular and tissue level
changes in cardiovascular system. It can be concluded that the relationship between periodontal
disease and cardiovascular disease is possible to be described from Ayurvedic perspective.
Keywords: Ama, Dantamoolagata Roga, Rakta Dhatu

Corresponding E-mail: nadee1027@gmail.com
Scope and role of dietary and daily regimen in prevention of life style eye disorders:
a literature study
Rathnayaka RLYU, Vaghela DB, Kishor Chudasama

Department of ShalakyaTantra, IPGT and RA, GAU, Jamnagar
Abstract
Ayurveda is a holistic healing science that emphasizes the importance of healthy lifestyle in
preventing disease. Faulty lifestyle (diet and behavior) are major factors leading to many
diseases. Smoking cigarette, tobacco, alcohol consumption, high fat and junk food, lack of
exercise, chronic stress, prolong exposure to bright light, working in computer for long time
etc. may also increase the risk of developing certain diseases, (diabetes mellitus, cardiovascular
and kidney disease, cancer etc.) Vision is also affected; among them ocular disorders are more
prevelant in modern era, like Age Related Macular Degeneration, Diabetic and Hypertensive
Retinopathies, Computer Vision Syndrome, Dry Eye Syndrome and Infectious eye diseases.
For preventing from this type of eye diseases as well as maintaining ocular health, wealth of
details are found in various types of classical texts of Ayurveda. Among them Dinacharya
(daily regimen), Ritucharya (seasonal regimen), specific ocular therapies (Kriyakalpa) and
various type of Chakshshya and Rasayana drugs, special types of Pathya Apathya Vidhi are
useful to maintain ocular health and improve vision. Publicity of these techniques using
appropriate media would benefit the general population by giving more confidence Ayurveda
practices, thus preventing from various type of lifestyle eye disorders. In the present study,
daily regimen, Kriyakalpa, Pathyapthya, Chakshusya and Rasayana are described in detail.
Keywords: Life style eye disease, daily and dietary regimen, prevention, Ayurveda
Corresponding E-mail: krchudasama84@gmail.com
Therapeutic effects of Yoga on the diseases of Śālākyatantra
Kumara GUA1, Karunaratne HKBMS2

1
Department of Kaumārabhtya and Strīroga, Gampaha Wickramarachchi Ayurveda Institute, University of
Kelaniya, Sri Lanka
2
Abstract
Yoga, a philosophy in ancient India, is effective in maintaining health and curing diseases. This
literature survey based on Hatha Yoga Pradipika was carried out in order to identify the
therapeutic effect of Yoga on diseases which had been mentioned in Śālākyatantra. All types
of Pranayama (Suryabhedana, Ujjayi, Seetkari, Sheetali, Bhramari, Bhastrika, Moorchha and
Plavini pranayama) are important to maintain healthy respiratory functions, while sixty seven
of Shatkarma have various therapeutic effects on curing diseases belonging to Śālākyatantra
and thirty three of Mudra and Bandha in Hatha Yoga Pradipika have therapeutic effects on
diseases that belong to Śālākyatantra according to the findings of the present study. Although
all the Asanas contribute to maintain healthy body, Simhagarjanasana (roaring lion pose) is
the most effective in alleviation of such diseases including numerous throat, mouth, nose and
ear disorders. It is particularly useful in toning the throat and eradicating stammering. Dhauti
and Neti have many therapeutic effects in curing diseases in Śālākyatantra. Trataka has many
therapeutic effects in curing eye disorders such as eye strain, myopia, astigmatism, and early
stages of cataract, according to the findings. It can be concluded that various types of Yoga
have therapeutic effects on diseases which have been described in Śālākyatantra.
Keywords: Asana, Pranayama, Shatkarma

Corresponding E-mail: guakumara@gmail.com
Review of Chakshushya Aahar Dravya
Chandana Virkar, Sanika Virkar

College of Ayurved and Research Centre, Akurdi, Pune (M.S.), India
Abstract
Changes in life style and dietary habits have resulted in many eye disorders in the present era.
Hence preservation of ocular health and prevention of ocular disorders have become essential.
As per Ayurveda, Aahar (diet) is considered in Trayopstambha, which is necessary for
restoration of life. Aahar Rasa nourishes all Dhatus. Hence proper diet is a key factor for
healthy Dhatu, Indriya (including Chakshurendriya) and body. In Ayurvedic texts, while
describing causes of eye diseases, importance has been given to dietary factors. Chakshushya
Dravya possess the capacity to protect, restore and regenerate eyesight. Aahar Dravya are
substances which can be included in daily food. In Ayurvedic literature, Aahar Dravya are
classified in a detailed manner e.g. Shuk, Shimbi, Shaka, Phala Varga etc. Useful diet for eyes
is also described as Chakshushya, Netrahitkar, and Netraroghar. Generally, green vegetables,
carrots, papaya, sprouts are considered as healthy foods for eyes. But according to Ayurveda,
all leafy vegetables are Achakshusya except Sakapanchaka. Also, sprouts (Virudhak) are not
beneficial for eyes. Fruits other than papaya mentioned in Ayurvedic texts are beneficial to
eyes. In this paper, information of Chakshushya Aahar Dravya described in Ayurvedic
literature is reviewed. Further new researches on composition, pharmacological actions of these
Dravya available in online sources have been reviewed. An Attempt has been made to compare
our ancient knowledge with that of present era.
Keywords: Chakshushya, Aahar Dravya

Corresponding E-mail: virkar.chandana@gmail.com
Eye complications of Amavata and its management
Maragalawaththa MGK1, Goyal M1, Chudasama K3, Jadav RK1

1
Department of Kayachikitsa, IPGT & RA, Gujarat Ayurveda University, Jamnagar
2
Department of Shalakya, IPGT & RA, Gujarat Ayurveda University, Jamnagar
Abstract
Amavata is a disease caused by undigested food particles (Ama) due to improper function of
Agni at different levels. This Ama, associating itself with Vata, moves quickly towards different
seats of Kapha in the body filling in them and leading to pain all over the body, joints, loss of
taste, thirst, lack of enthusiasm, heaviness, fever, indigestion and swelling of the body parts
(joint). Amavata can be co-related with Rheumatoid Arthritis which is a chronic inflammatory
connective tissue disorder mainly affecting musculoskeletal system producing a wide variety
of extra articular manifestation. RA that affects joints can also cause complictions
for eyes, lungs, skin, heart, blood vessels and other organs. Dry eye or Keratitis Sicca (Shushka
Akshipakatya) is a main complication of RA which causes lack of sufficient lubrication and
moisture on the surface of the eye. Due to vitiation of Vata Dosha in Amavata, it causes lack
of production of tears (moisture contents in eye) which results in dry eye. Inflammation from
RA causes abnormalities in the tear glands (lacrimal), significantly reducing fluid secretion.
Scleritis (Shirajala) is an inflammation of the sclera (the white outer wall of the eye) which is
the second main complication of RA. It is one of the Shleshmasthana in the body due to
association of Kapha. Vitiated Vata and Kapha Dosha in Amavata patient further leads to
vitiation of Pitta Dosha in Sclera producing Shirajala. Thus it can be concluded that RA is a
systemic connective tissue disorder and it affects any collagen connective tissue like eye at its
chronic stage. On the basis of these facts, an Ayurvedic approach of management can be
planned for its prevention and treatment.
Keywords: Amavata, eye complications, RA

Corresponding E-mail: drmgsk@gmail.com
A Siddha polyherbal formulation Neerkovai Mathirai: a review
Mithurendran B, Niruba K
Unit of Siddha Medicine, Trincomalee campus, EUSL
Abstract
The role of Siddha medicine is crucial due to its increasing acceptance by scientific medical
community. This change in trend is owing to to the surge in complementary and alternative
medical research for obvious reasons of cost effectiveness, less side effects and easy
availability. Among the ancient Siddha formulations, Neerkovai Mathirai is one of the most
famous medicine for Peenisam (Sinusitis), Mooku Neerpaithal (Rhinitis) and headache due to
cold, which is mentioned in the ancient Siddha text, Vaidyathirattu. That is comprised of ten
components such as rhizome of Curcuma longa, Curcuma aromaticus and Zingiber officinale,
resin of Styrax tonkinensis, seeds of Piper nigrum, Trachyspermum copticum and Myristica
frangrans, bud of Syzygium aromaticum, exudate of Cinnamomum camphora, dehydrated
borax and juice of Citrus reticulate. It pacifies the aggravated Pittam and Kapham in the
sinuses. Along with Siddha texts, the published journals and articles on pharmacognasy,
phytochemical and clinical studies on Neerkovai Mathirai were analyzed for this review to
explore the modern and Siddha pharmacological potential of Neerkovai Mathirai. Neerkovai
Mathirai have anti-inflammatory and analgesic action and each ingredient in the formulation
has different pharmacological actions such as anti-septic, anti-bacterial, anti-fungal, anti-
microbial, anti-parasitic, anti-tumor and anti-oxidant. For this pharmacological action, most of
the ingredients of this medicine contain chemical substances like Essential oil, Terpinen,
Euginol and Cymene. Some of them possess Camphene, Myristicin, Borenol, Linalool and
Cinamic acid. According to Siddha pharmacology, all the ingredients of Neerkovai Mathirai
have Kaippu, Karpu Suvai, Veppa Veeriyam and Karpu Vipakam. These organoleptic
characters contribute to pacify the aggravated Pittam and Kapham. Hence Neerkovai Mathirai
is a potential drug for the Peenisam, Mooku Neerpaithal and headache.
Keywords: Neerkovai Mathirai, Peenisam, Mooku Neerpaithal

Corresponding E-mail: rtsbamini911@gmail.com
Potency of Kalludaikudori Maththirai, a herbo mineral Siddha formulation in the

management of Kalladaippu Noi (Urolithiasis): a drug review
Janani S, Niruba K
Unit of Siddha Medicine, Trincomalee campus, EUSL
Abstract
Siddha medicine is one of the oldest medical systems in the world. Siddha system is the science
which takes human and nature as part of closed system. Siddha insists on leading a healthy life
both physically and mentally by keeping pace with the laws of nature. Siddhas have classified
4448 diseases, based on the three humoral pathologies. Among them Kalladaippu Noi is
classified under Neerinai Aukkal Noigal. According to Siddha dietary factors play a vital role
in the formation of Kalladaippu Noi. Also Pitta humor is said to be the major causative factor
of this disease. Many formulations are indicated for Kalladaippu Noi in Siddha literature.
Kalludaikudori Maththirai is a herbo mineral drug indicated for Kalladaippu Noi.
Kalludaikudori Maththirai is used to remove the urinary stones from the urinary pathway. It is
contains four ingredients; purified Rasam (Mercury), purified Kanthakam (Sulphur), Vellai
Saaranai (Boerhavia diffusa) and Sirupeelai (Aerva lanata). The aim of the study was to review
the existing Siddha herbomineral formulation, ‟Kalludaikudori Maththirai’’ with evidence
from the text ‘Siddha Vaidya Thiraddu’’. The data were obtained from research articles and
the globally accepted website such as PubMed, Medline, and Meddler. Literatures also
According to the pharmacological studies, the ingredients are very effective for anti-urolithiasis
(Lithotriptic), diuretic and anti-inflammatory activities. According to Siddha literature, the
main ingredients of Kalludaikudori Maththirai consists of the action for elimination of vitiated
Pittam. This review work is an initial step towards, scientifically analyzing ‟ Kalludaikudori
Maththirai” in the management of Kalladaippu Noi.
Keywords: Kalladaippu, Kalludaikudori Maththirai, Urolithiasis

Corresponding E-mail: Rajahjanani1988@gmail.com
Verification of botanical source of Arimeda: a textual based study
Samanweera WGNS, Jayakody JTR

Department of Dravyaguna, Gampaha Wickramarachchi Ayurveda Institute, University Of Kelaniya, Yakkala,
Sri Lanka
Abstract
Arimedadi Taila is one of the Ayurvedic medicines used for a wide range of oral and dental
diseases and named after the main ingredient Arimeda. The original formula of this oil is
mentioned in Chakradatta and has later been included in Sri Lankan texts too. In Sinhala
translation of Chakradatta, Arimeda is translated as Guranda which is different and not even
used as a substitute for Arimeda. The aim of this study was to verify the botanical source of
Arimeda in Sri Lankan flora and investigate the textual references for its pharmaceutical utility
in indigenous medicine. The primary data were collected from Ayurvedic classics and
Nighantus and secondary data were gathered from Ayurverda Pharmacopeia of India and other
literary research published by various scholars. The data were analyzed comparatively based
on check lists and were critically reviewed on the basis of scholarly opinions. A field survey
study was carried out to find out the sources of Arimeda in market and raw material used to
prepare Arimedadi Taila in Sri Lanaka. As officially declared in Ayurveda Pharmacopeia of
India, the botanical name of Arimeda is Acacia leucophloea. The botanical name of Gurenda
is Celtis timorensis which is botanically different and bearing no morphological or
pharmacological similarities with Arimeda. Acacia leucophloea is naturally grown in dry zone
of Sri Lanka and locally known as Katu Andara which has been included in the National Red
List of 2012 published by IUCN. The Sinhala translation of Ashtangahradya has mentioned
Gurenda for the synonym Vitkadira which gives a partly similar meaning with Gurenda. At
present only four companies manufacture Arimedadi Taila in Sri Lanaka and only one company
uses Acacia leucophloea as Arimeda for the product and others use Gurenda for the oil. The
raw material used as Arimeda should further be further verified through pharmacognostic
methods on the market samples and standerdize Arimedadi Taila.
Keywords: Arimeda, Gurenda, Katu Andara

Corresponding E-mail: tilindra@yahoo.com
A literature based study on Jātipatrādi Gandūsha for Mukhapāka
Jayasiri SAUSK1, Jayasinghe JMPRK2

Department of Dravyaguna, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala
Abstract
Gandūsha is a procedure of holding the medicinal decoction or liquid or oil in the buccal cavity
for certain period without movements and an effective method of treating the diseases of oral
mucosa, gums, tongue, teeth. Jātipatrādi Gandūsha is a specially prepared medicated
mouthwash recommended in the management of Mukhapāka as mentioned in Cakradatta. As
the name indicates this formula is derived from Jātipatra (leaves of Jasminum grandiforum
Linn.) and comprised of other seven ingredients viz; Jātipatra, Guduchi, Drākshā, yavāsa,
Dāruharidrā, Triphalā in decoction form mixed with Madhu. The aim of this study was to
analyze the literature related to Jātipatrādi Gandūsha available in Ayurvedic texts and
traditional texts and to demonstrate the differences between them and to analyze the
pharmacological properties of the formula according to Ayurvedic principles. The primary
sources used for this study were Carakasamhitā, Ashtānga Hrdaya Samhithā, Cakradatta,
Shārangadhara Samhitā, Bhāvaprakāsha, Sanskrit Yogarathnākara and Bhaishajya
Rathnāvali. As secondary sources Sri Lankan traditional medical texts were used to verify the
indigenous version of the formula and Nighantus were used to analyze the pharmacological
properties of the ingredients. According to the pharmacodynamics study Tikta (89%),
Kashāyarasa (67%), Ushna Veerya (78%), and Madhura Vipāka (67%) are most dominant in
formula. Jātipatrādi Gandūsha can be used as Rōpana types of Gandūsha according to the
pharmacological properties of the ingredients. The ingredients used in this compound formula
are commonly found in recipes of medicinal preparations prescribed in oral diseases and
claimed to have Vēdanāsthāpana, Vranarōpana, Vranashōdhana activities. In texts of Sri
Lankan indigenous medicine, the same formula is mentioned where Yavāsa (Alhagi
camelorum) and Dāruharidrā (Berberis aristata) are substituted by Welkahambiliyā (Tragia
involucrata) and Venivelgeta (Coscinium fenestratum) respectively. Jātipatrādi Gandūsha was
a common formula according to Ayurveda and Indigenous texts used in the management of
Mukhapāka and two different formulas were identified from the study.
Keywords: Jātipatrādi Gandūsha, Mukhapāka, pharmacological properties

Corresponding E-mail: upekshi22@gmail.com
Efficacy of Lakshadi Lepa on controlling mild acne
Saranga RGS
Ayush-Longevity, Institute of Ayurveda & Ceylon Aesthetic, 312/4 1/1, Nawala road, Rajagiriya
Abstract
In the young age both girls and boys are mostly affected by acne. According to Ayurveda young
age can describe as Pitta Pramukha duration. Cosmetics and acne care treatments are invented
every day, but most are not successful. Ayurveda treatments are developed on the basis of
Tridosha concept. Acne develops due to blockage and inflammation of pilosebaceous units.
Lakshadi Lepa, mentioned in the text book of Ayurveda pharmacopeia is prescribed to cure the
inflammatory conditions. But it is still not prescribed to mild acne. Pathology develops in acne
is an inflammation. A total of 40 of patients between 12-25 years with mild acne on the face
were selected. Testing group was treated with cleanser formula of Ayurveda, gentle soft
massage with steam, and Lakshadi Lepa collected with bee honey and few drops of lemon
juice. Lakshadi Lepa is produced with lac resin, Saussurea lappa root, Brassica nigra,
Curcuma longa rhizome, Zingiber officinale rhizome, Piper nigrum seeds, Piper longum roots,
Senna alata leaves. Preparation method of Lakshadi Lepa was not changed. The pack was kept
for 40 minutes and removed by normal cool water. The same procedure was used in control
group except the pack. Bee honey was applied as a pack to control group. Cleansing the face
and applying the pack was repeated for seven days. After 3, 5 and 7 days improvement was
checked by skin analyzing instruments. Lakshadi Lepa effectively manage the mild acne within
the first day. After 3 days it was 20%, 5 days it was 50% and 7 days it is 80% and no
inflammatory lesions. It gives better results on papule of acne than on pustule. Therefore, to
control the acne is teenage, Lakshadi Lepa is better than other external treatments.
Keywords: Mild acne, Lakshadi Lepa, inflammation

Corresponding E-mail: sara.serasinghe@gmail.com
A comparative clinical study on Nishādi Lepa and Nirgundi Saptaparni Lepa in the
management of Stana Vidradhi
Kumara GUA, Pushpakumari WLARS

Department of Kaumārabhṛtya and Strīroga, Gampaha Wickramarachchi Ayurveda Institute, University of
Kelaniya, Sri Lanka.
Abstract
A breast abscess is a painful collection of pus that forms in the breast. Most abscesses develop
just under the skin and are caused by a bacterial infection. Breast abscesses are painful, swollen
lumps that may also be red, feel hot, cause the surrounding skin to swell and cause fever. In
Ayurveda, it is co-related with Stana Vidradhi. This disease does not occur in unmarried
women. It is, however, seen most in pregnant women and in women soon after parturition. The
aim of this study was to evaluate the efficacy of Nishādi Lepa and Nirgundi Saptaparni Lepa
on Stana Vidradhi comparatively. Randomly selected patients were divided into two groups
and each group included 15 patients. Group A was recommended with Nishādi Lepa and group
B was treated with Nirgundi Saptaparni Lepa. Both groups were advised to apply the
recommended paste once a day for a period of seven days continuously. Data were analyzed
by calculating percentages of improvement separately. According to the results, 60% of
patients completely cured in group A while 40% of patients completely cured in group B. Also,
group A patients did not complain any adverse effects. But some patients of group B
complained of allergic reactions. Hence, it can be concluded that Nishādi Lepa is more effective
than Nirgundi Saptaparni Lepa in the management of Stana Vidradhi.
Keywords: Nirgundi Saptaparni Lepa, Nishādi Lepa, breast abscess

Corresponding E-mail: guakumara@gmail.com
Review of Akshiprasadana Ahara Viharana: a conceptual study
Madhushani NVPS, Alhakoon DBGS

Bandaranaike Memorial Ayurveda Research Institute, Nawinna, Maharagama, Sri Lanka
Abstract
In today’s world not only the elders but also young people are affected by vision problems.
According to Ayurveda philosophy, Drishtidosha or the failing vision is believed to result from
the local Doshas deranged and aggravated by such causes as diving in water immediately after
an exposure to the heat and the glare of the sun, gazing at distant objects, sleep in the day time
and keeping up late hours in the night, worry and fatigue, sexual excesses, voluntary repression
of any call of nature, exposure to smoke or dust, constant contraction of the eyes to adjust the
sight to extremely small objects, etc. The eyesight can be improved by proper diet, proper
lifestyle and proper environment. According to the Panchapadarthas foods have Madura,
Amla, Katu rasa, Snigdha, Sheetha, Guru Guna, Sheethaveerya, Madura Vipaka are Chaksusya
properties. Some of these foods include sugar cane, pomegranate, Godhuma, Yava, Mudga,
and Ghee. According to the modern science foods enriched in lutein, zeaxanthin, vitamins A,
C, E, beta-carotene, omega – 3 fatty acids, zinc, selenium, etc. help in protecting and increasing
the eye sight. Spinach, kale, and other dark green-leafy vegetables, carrots and other orange
colored fruits and vegetables, citrus fruits, nuts, whole grains, egg, cold water fish are the top
sources enriched with above nutrients to improve eyesight. There are several eye exercises that
help in minimizing the eye strain and help see better as well. These exercises include palming
exercise, tromboning exercise, scanning exercise and rolling exercise. Hydrotherapy,
massaging, monitoring environment properly help in keeping eye sight well without using
spectacles or medicines.
Keywords: Akshiprasadana, eye sight, Ahara Viharana

Corresponding E-mail: nvpsewwandi@gmail.com
Nagaradi Modaka in the management of hemorrhoids: rationality from Ayurvedic

perspective
Pushpakumara AAJ, Willamuna SMSK

Abstract
Hemorrhoid is a disease, which torments people both physically and mentally, even disturbing
their day-to-day activities. According to the WHO, 60 – 65% of the world population suffers
from hemorrhoids, regardless of age and sex. Nagaradi Modaka is an oral medicine that can
be used in hemorrhoid which has been mentioned in Chakradatta. It is an herbal preparation
which contains Shunti (Zingiber officinale), purified Ballathaka (Semecarpus anacardium),
Vrudhadaru (Argyreia speciosa) and jaggery (Saccharum officinale). Present study aimed at
finding out the rationality of this drug in the management of hemorrhoid by analyzing its
properties according from Ayurveda perspective. In-depth literature study was carried out in
respect of its ingredients and analyzed its relevance in the management of hemorrhoid. Shunti
has Katu Rasa, Madura Vipaka, Ushna Veerya and Agni Deepana properties. Purified
Bhallataka contains Katu, Thikta, Kasaya and Madura Rasa, Madura Vipaka, Ushna Veerya
and Deepana-Pachana properties. Purified Bhallataka and Shunti has also been mentioned as
Arshoghna Dravyas in Ayurveda text books. Vruddhadaru has Katu, Tikta and Kasaya Rasa,
Sheta Veerya and Vata, Pitta Shamaka properties and jaggery has Madura Rasa, Madura
Vipaka and Vata Kapha Nashaka properties. Shunti produces carminative, anti-oxidant and
anti-inflammatory actions while anti-oxidant, anti-inflammatory, aphrodisiac, anabolic action
of purified Ballathaka can be found. Analgesic and anti-inflammatory actions of Vruddhadaru
were also scientifically proven. Therefore it could be concluded that the Nagaradi Modaka
could be effective according to Ayurveda perspective.
Keywords: Hemorrhoid, Nagaradi Modaka, Chakradatta

Corresponding E-mail: Sathkalani.willamuna@gmail.com
A survey study on Computer Vision Syndrome
Karunarathna WDCK1, Balasooriya MGDN1, Karandugoda KKIE2

1
D.B. Welagedara Ayurveda hospital, Kurunegala, Sri Lanka
2
Department of Cikitsa, Gamapaha Wikcramarachchi Ayurveda Institute, University of Kelaniya, Sri Lanka
Abstract
Computer vision syndrome is one among the life style disorders which related to prolonged use
of computer, tablet PC, e-reader and mobile phones. Because, in the present thease mentioned
electronic devices are very important for making our life easier. There are many guidelines we
need to follow in using these devices. Misuse of these devices can lead to symptoms such as
Watering of eyes, headache, blurring vision, irritation of eyes. Therefore, this study was
conducted as a questionnaire survey to determine the causes, symptoms of CVS, knowledge
and practices of computer use and to evaluate the various factors in computer use with the
occurrence of CVS symptoms. A questionnaire was prepared to obtain data including all the
aspect of computer usage such as symptoms, reference materials and preventive measures used.
The study looked at 65 people who use the computer daily for an hour or more over a period
of some months and people having two or more symptoms of CVS in irrespective of their sex,
age, occupation and religion. The collected data was analyzed according to numerical
calculation. According to the collected data, when using the computer 32% use it up to one
hour, 18% up to one to two hours, 10% more than ten hours. Headache was the major symptom
seen in CVS. As a percentage it was 40%. Watery eyes 38%, Eye strain 35%, Neck pain 28%.
More over 50% people involved in this study have a method about preventive measures of
CVS. Among them 23% wearing spectacles, 22% taking breaks in between computer use, 9%
has concern on distance and angle of computer screen. So it can conclude Headache was the
major symptom seen in CVS. Over 50% follow preventive measures for CVS. Most of the
participants are daily using computer at least up to one hour.
Keywords: Computer Vision Syndrome, life style disorder, headache

Corresponding E-mail: drchamil@gmail.com
Analysis of the properties of Tamalakyadi Kvatha: a critique
Ranasinghe RLDS1, Ediriweera ERHSS2

1
Department of Desheeya Chikitsa, Institute of Indigenous Medicine, University of Colombo, Sri Lanka
2
Department of Nidana Chikitsa, Institute of Indigenous Medicine, University of Colombo, Sri Lanka
Abstract
Tamalakyadi Kvatha is one of the popular decoctions among Ayurveda physicians. It is

commonly used for the ailments such as Peenasa, Arsha, Shwasa, Kasa and Agnimandya. This
comprehensive overview is a step towards analysing the Ayurveda pharmacodynamic
properties, phytochemical content and bioactivities of the ingredients of Tamalakyadi Kvatha
and its utility in the selected diseases. Data were collected from authentic Ayurveda texts and
electronic sources. It covers the entire plants of Phyllanthus amarus and Solanum
xanthocarpum, pericarp of Terminalia chebula, roots of Solanum trilobatum, Solanum
melongina, Adhatoda vasica, Piper chaba and Clerodendrum serrutum, fruits of Piper longum,
rhizome of Zingiber officinale, stem of Tinospora cordifolia, and seeds of Piper nigrum. With
the predominance of Tikta Rasa (67%), Katu Rasa (67%), Laghu Guna (92%), Ruksha Guna
(75%) and Katu Vipaka (50%), Tamalakyadi Kvatha pacifies vitiated Kapha Dosha. Due to its
Ushna Veerya (75%) it pacifies both vitiated Kapha and Vata Dosha. Madhura Vipaka (50%)
is capable of pacifying vitiated Pitta Dosha. It also has Deepana (83%), Pachana (83%),
Shwasahara (58%), Vatanulomana (58%), Kasahara (50%), Kaphaghna (50%), Jvaraghna
(33%) and Sirovirechana (32%) properties. The ingredients are rich with valuable
phytochemicals viz; alkaloids, flavonoids, glycosides, tannin and volatile oils. These
phytochemicals are scientifically proven to possess anti-inflammatory, anti-cholinergic,
antioxidant, antimicrobial, diuretic and hypoglycaemic activities. Therefore, it can be justified
that due to its pharmacodynamic properties and bioactivities Tamalakyadi Kvatha can be
specifically used in the management of Vata Kapha Janya diseases. The administration of this
Kvatha is useful in Agnimandya and Arsha since it possesses the properties of Agnivardhaka.
Keywords: Ayurveda, Kvatha, phytochemicals

Corresponding E-mail: rlsandu@gmail.com
The effect of Chatur Sneha in the management of Netra roga
Balasooriya MGDN, Premarathna WGLU, Muthugala SKR

D.B. Welagedara Ayurveda hospital, Kurunegala, Sri Lanka
Abstract
The human body has many methods to identify the world around us. Sensitive organs created
in the human body for a variety of sensations about the environment. The five main sensations
obtained from those sensory organs are the sensory of taste, fragrance, vision, sound, and touch.
From these senses, the vision is very important and it is perceived by the eyes located in head
region. Any disturbances to this area lead for the mismanagement with day to day activities.
Mahasneha is widely used to treat Urdhvajathrugatha roga because it has Snigdakaraka,
Jeevana hita, Varnakaraka and Bala-pushti Vardhaka Guna. Grtha, Taila, Vasa and Majja are
the four types of Mahasneha. Aim of this study is to find out the mostly used drug and its
qualities among Chatur Sneha in treating Netra Roga. This study was carried out as a literary
review. This study consists of two steps. Primary data collected by referring Bruhattrayee.
Secondary study was done to find out the values and qualities of widely used Maha sneha and
to understand the rationale behind that Maha Sneha in treating Netra Roga. Ayurveda and
modern books and World Wide Web used to collect secondary data. When we consider about
Akshi Roga Cikitsa according to Carakasamhita, there are 6 external applications using Grita.
Vidalaka, Rasakriya and Anjana mentioned in Carakasamhita which used Grita. According to
Susruta Samhita there are 8 internal applications and 31 external applications in Chatur Sneha.
Among internal applications Grita includes in 87% applications. Among external applications
it is 80%. 74% is Anjana and 13% Ashchotana formulas of Ghee. According to Ashtanga
Hridaya Samhita, Chatur Sneha includes in 22 external applications and 14 internal
applications. Over 90% percentage ghee is the main drug in external applications. Anjana
(65%) and Tarpana (15%) are the major external applications which includes ghee. Therefore,
it can be concluded that, according to Brhattrayee ghee is the most used Sneha among Chatur
Sneha in treating Netra Roga internally and externally. It is because of ghee is carrying
Yogavahi and Sanskara Anuvartana Guna. And also the drugs are highly absorb in lipid media.
Key words: Netra Roga, Chatur Sneha, Grita,

Corresponding E-mail: dinubalasooriya89@gmail.com
The importance of Dinacharya as a preventive measure for Urdhvajathrugata Roga

according to Carakasamhitha
Premarathna WGLU, Balasooriya MGDN, Muthugala SKR

D.B Welagedara Ayurveda hospital, Kurunegala, Sri Lanka
Abstract
“Swasthasya Swasthya Rakshanam” is an important aspect of Ayurveda. “Swasthya” means

the person who has balance with Dosha, Agni, Dhatu, Mala, Atma, Indriya and Manas. Any
imbalance leads to manifestation of diseases. We can prevent the disease manifestation by
following preventive measures. When we consider about Urdhvajathrugata diseases, this
region is always exposed to environment. So diseases caused due to occupation are common
for this head and neck region. Matrashitiya Adhyaya which carrying the Swasthya Rakshanam
Vidhi is included in Caraka Sutrastana. Anjana, Dhuma Pana, Danta Dhawana, Nasya,
Gandusha Dharana, Karna Purana, Abhyanga, Shirsha thaila Abhyanga are some of the
preventive measures mentioned in Matrashitiya Adhyaya. When we consider about these
preventive measures there is a link between these methods and Urdhvajathrugata diseases. So
aim of this study is to study the importance of following Dinacharya as a preventive measure
for Urdhvajathrugata Roga. This study was a literary review which was carried out under
several steps. Firstly Carakasamhita was referred to study the Dinacharya mentioned in
classics. Secondly each Dinacharya Vidhi was studied one by one by referring Ayurveda
books. For more details of scientific basis of Dinacharya were studied using modern books.
When we considered about Anjana, Pada Abhyanga, Vahan Dharana helps to improve the eye
sight. The relation between how Pada Abhyanga and Vahan Dharana helps to improve eye
sight can be explained according to the reflexology. Gandusha Dharana, Danta Dhawana,
Tambula Bhakshana helps to improve the oral health. Nasya and Dhuma Pana helps to prevent
nasal diseases and head diseases. Shirsha Taila Abhyanga also prevent Shiro Roga. To prevent
ear diseases Karna Purana is essential. Chathra Dharana prevents diseases such as
Abhishyanda, Peenasa and Pratishya. Snanaya is good for general health and Mala Dharana
and Nirmal Vastra Dharana for mental health. Karna Abharana indirectly helps to improve
eye sight. So Dinacharya is very helpful to prevent Urdhvajathrugata Roga.
Keywords: Dinacharya, preventive measures, Urdvajathrugata Roga

Corresponding E-mail: lakshanipremarathne@yahoo.com
A literary survey on therapeutic formulations used in Nasya Karma (inhalation therapy)

and their properties with special reference to Carakasamhita
Ranasinghe RLDS1, Ediriweera ERHSS2, Wijesiriwardhana HGSG1

1
Department of Desheeya Chikitsa, Institute of Indigenous Medicine, University of Colombo, Sri Lanka
2
Department of Nidana Chikitsa, Institute of Indigenous Medicine, University of Colombo, Sri Lanka
Abstract
Nasya Karma (inhalation therapy) is one of the procedures of Pancha Karma where instillation
of medicine is done through the nasal route. It is considered as the best treatment for diseases
above the clavicle. Despite the extensive use of Nasya prescribed in authentic texts for various
ailments, only a very limited number of formulations are being used today. The aim of the
study was to explore the knowledge on therapeutic formulations of Nasya, taking
Carakasamhita as the source material. The formulae were collected and their Ayurveda
pharmacodynamic properties and bioactivities were analyzed. In the present study, 150
formulations consisting of 210 ingredients were found. The majority of the ingredients
originate from plants (84%), 14% of the ingredients are from animal sources while 2% are from
minerals. On the basis of usable parts, the herbal ingredients can be categorized into seven
types viz. Phala, Patra, Mula, Pushpa, Niryasa, Tvak and Kandha. These formulations can be
used in the form of Navana (6%), Avapeeda (80%), Dhmapana (5%), Dhuma (4%) and
Pratimarsha (5%). These formulations are indicated for Urdhvajatrugata Roga (diseases
above the clavicle) as well as other systemic diseases. According to Caraka, most prominent
Rasa of the ingredients used in Nasya Karma is Katu (70%), followed by Tikta (68%). The
ingredients predominantly exhibit Ruksha (78%) and Laghu (62%) attributes. These
ingredients are mostly of Ushna Veerya (70%), Katu Vipaka (75%) and Kapha Vata Shamaka
(79%). Anti-inflammatory, analgesic, antimicrobial, hypoglycemic and antioxidant properties
of some of the ingredients are scientifically proven. Ayurveda pharmacodynamic properties of
collected ingredients indicate that Nasya Karma is most suitable in the treatment of Kapha
Vata Janya diseases. It is concluded that a wide range of therapeutic formulae is mentioned in
Carakasamhita for Nasya Karma that can be administered differently according to the nature
of the disease and the strength of the patient.
Keywords: Ayurveda, Nasya Karma, inhalation therapy

Corresponding Email: rlsandu@gmail.com
Supremacy of Shalya Tantra over modern surgery
Samaranayake GVP, Pushpakumara AAJ

Yakkala, Sri Lanka
Abstract
Sushrutasamhita describes the ancient tradition of surgery in India and is considered as one of
the brilliant texts in ancient Indian medical literature. This treatise contains detailed
descriptions of the way of teaching and practice of surgery by our great ancient surgeon,
Acharya Sushruta, who had wide knowledge of surgery which has extreme relevance even in
today's practice of surgery and other related surgical and medical branches. Sushruta was the
famous surgeon of Kashi, known as Banaras. He used to teach and practice around 600 BC
and had made significant contributions to various branches of medicine. Sushrutasamhita
written by him is the foundation of Indian traditional system of medicine and it contains 186
chapters in which he has given description of 1120 diseases, 700 medicinal plants, 64
preparations from mineral sources and 57 from animal sources. He has given precise
description of method of dissection, preservation of Cadaver, types of suturing and suture
material used, Yantra-Shastra (instruments), minor and major operative procedures, Bhagna
(fractures and dislocation), Kaumarbhritya (pediatrics), Twak Vikara (skin diseases),
Panchakarma, and many more in addition to his well-known work of plastic surgery.
Sushrutasamhita is considered as the landmark in the field of surgery and Acharya Sushruta is
glorified as "Father of Indian Surgery". He performed surgeries in the era when no diagnostic
facilities were available. Probably, it was his wide knowledge of basic science which made him
such a versatile surgeon. The list of his contributions is never ending. In this review an attempt
has been made to highlight the ancient surgical concepts of Sushrutasamhita which are being
practiced even today with same basic principles with later modifications and amendments.
Keywords: Sushruta, Shalya, Shastra karma, surgery

Corresponding E-mail: prabashi185@gmail.com
An analytical study on the antimicrobial activity of Visarpahara Tailaya against Candida

albicans and Staphylococcus aureus
Madumali MGB1, Wickramarachchi WJ2, Karunarathna EDC3, Sudesh ADH3

1
2
Department of Cikitsa, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri
Lanka
3
Abstract
Visarpahara Tailaya is a herbo-mineral preparation recommended to use clinically in the

management of eczema, scabies, itches and other types of skin diseases mainly caused by
bacteria and fungi. This study was conducted to determine the antimicrobial activity of this
drug using the standard Antimicrobial Sensitivity Test against Staphylococcus aureus and
Candida albicans. The test was performed according to the Well diffusion Method having 6
mm diameter wells on Mueller Hinton Agar (MHA) for S. aureus and Sabouraud Dextrose
Agar (SDA) for C. albicans. As the positive controls, Amoxicillin 10mg/ml was used for
S.aureus and Fluconazole 2.5mg /ml for C. albicans. According to the results, the test drug
showed an average Inhibition Zone Diameter (IZD) of 12mm for S. aureus and 17mm for C.
albicans while the positive controls showed 51mm and 25mm respectively .These results show
that the test drug Visarpahara Thailaya is effective for both test organisms with an increased
effectiveness for C.albicans compared to S. aureus. Therefore, it is concluded that Visarpahara
Tailaya can be effectively used in the management of C. albicans while it is less effective for
S. aureus.
Key words: Eczema, antimicrobial, inhibition

Corresponding E-mail: madumalibuddhika7@gmail.com
Microbiological study of an indigenous mouth wash (Gandusha) used in periodontal

diseases
Dewasurendra DMW1, Peiris KPP1, Karunarathna EDC2, Sudesh ADH2

2
Yakkala, Sri Lanka
3
Abstract
Mouth wash (Gandusha) is clinically effective in the management of periodontal diseases. This
study is an in-vitro analysis on determining the antimicrobial efficacy of this drug using
standard Antimicrobial Sensitivity Test against a fungal culture isolated from a patient. The
test was performed according to the Well diffusion method having 6mm diameter wells on
Sabouraud Dextrose Agar (SDA). Each well was loaded with the test drug mixed in 20µl of
sterile distilled water and fluconazole 2.5mg / ml was used as the positive control. According
to the results the test drug showed an average Inhibition Zone Diameter (IZD) of 19mm while
the positive control showed IZD of 15mm. Therefore, it can be stated that the test drug is more
effective than the positive control and the isolated culture is sensitive to the test drug as it had
shown a IZD of 19mm while it is intermediate sensitive for the positive control as 15mm comes
under Intermediate sensitive range (15-18mm). These results support the claim that the
indigenous mouth wash (Gandusha) is effective in the management of periodontal diseases.
Keywords: Gandausha, antimicrobial, periodontal

Corresponding E-mail: dmwimalasiri@gmail.com
A comparative study on the anti-microbial efficacy of two Ayurveda powders

(Prathisarana) used in periodontal diseases
Wijebandara DMKK1, Peiris KPP2, Karunarathna EDC3, Sudesh ADH3

1
2
Yakkala, Sri Lanka
3
Central Laboratory, Gampaha Wickramarchchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri Lanka
Abstract
Kushtadi (KU) and Karanjadi (KR) are prominently used Ayurvedic powders (Prathisarana)
in the management of periodontal diseases. This study was carried out for the determination of
antimicrobial efficacy of these two drugs using standard Antimicrobial Sensitivity Test against
Candida albicans and a fungal culture isolated from a patient. The Antimicrobial Sensitivity
Test was performed according to the Well diffusion method having 6mm diameter wells on
Sabouraud Dextrose Agar (SDA). Each well was loaded with test drugs mixed in 20µl of sterile
distilled water and fluconazole 2.5mg / ml as the positive control. According to the results, KR
showed an average Inhibition Zone Diameter (IZD) of 20mm for the isolated culture while KU
did not show any inhibition. The results were similar for Candida albicans, KR showing IZD
18 mm, KU IZD 0 mm while positive control giving an inhibition of 25 mm. Therefore, it can
be concluded that both Candida albicans and the isolated culture were sensitive only for KR
making it the only effective drug out of the two drugs tested in this study.
Key words: Prathisarana, periodontal, antimicrobial

Corresponding E-mail:dmkapila1988@gmail.com

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ŚĀLĀKYA SANDĪPANĪ 2017 | SRI LANKA ABSTRACTS

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 41

42 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Utility of Dhooma preparations in the treatment of Nāsa Roga in indigenous medicine in

Pathirana KPMP, Jayasinghe JMPRK

Keywords: Dhooma, indications, preparations

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 43

A pilot study based on role of herbal preparation in the management of Oral

Shukla V1, Dave H2

Keywords: Herbal preparation, Precancerous lesion.

44 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Surangi KG, Shamsa Fiaz

Keywords: Navapatala Varti Anjana, Śatāvaryādi Chūrņa, Śrńgaverādi Nasya

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 45

Effect of Ayurvedic medicines in the management of Vartma Sharkara with special

Surangi KG, Shamsa Fiaz

Keywords: Vartma Sharkara, conjunctival concretions, Pratisarana

46 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Clinical efficacy of Haridradi Ashcyotana (herbal eye drop) in the management of

De Silva LDR1, Peiris A2, Kamal SV1

Keywords: Haridradi Ashcyotana, Abhishyanda, bacterial conjunctivitis

Irsal e alaq (Hirudo therapy) on Maa e Aksar (glaucoma): a scientific review

Shifra ASF, Ayshah Fazeenah AH

Maa e aksar (glaucoma) is caused by either increased production or reduced absorption of

Keywords: Maa e aksar; hirudo therapy; Mizaj

48 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Kumaradharmasena LSP1, Peiris KPP2, Kamal SV3

Keywords: Patoladi Lepa, Mustadi Taila, Krimidanta

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 49

Senadheera T1, Samarakoon SMS2

Acharya Charaka considered Shiro-ruk as a separate disease in eighty types of Nanatmaja

Keywords: Sarasvata Ghrita, Nasya, Vataja Shirahshoola, tension headache

50 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

A comparative study on the effects of Jalaukavacarana (leech application) and

Jayathilake TASC1, Kamal SV2

Keywords: Jalaukavacarana, Manjishtadi Lepa, Vyanga

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 51

Sunita Vijay Magar

Keywords: Digital eye strain, Jeevantyadi Ghrita, Netra Tarpana.

52 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Keywords: Glaucoma, intra-ocular pressure, leech therapy

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 53

Ranasinghe RHS1, Peiris KPP2

Keywords: Nasa Arsha, Rakta Apamargadi Dhooma Varti, Dhoopana Kalpana

54 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

Ayurvedic management of Stargardt disease: a case report

Adithya Babu PTP

Keywords: Stargardt disease, sannipatika drishti roga

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 55

Musta powder and practice of Yoga in the management of Hyperlipidemia

Karunaratne HKBMS1, Perera KC2

Keywords: Cholesterol, low density lipoprotein, triglycerides

56 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

A comparative study to evaluate the efficacy of Vyadhana Karma in Vataja Shirashoola

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 57

Kumaran K1, Sivakanesan R2, Paheerathan V3

Keywords: Nigella sativa, wound healing, experimental model

58 GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA

A clinical study on the efficacy of Yashtimadhu Ghrita Karnapooran in the management

Jayawant Kharat1, Anjali Nitin Upadhye2, Shardha Shelake2

Karnashoola is one of the common problems identified in majority of patients in clinical

Keywords: Jayapala Beeja, Shodhana, physico-chemical analysis

GAMPAHA WICKRAMARACHCHI AYURVEDA INSTITUTE | UNIVERSITY OF KELANIYA | YAKKALA | SRI LANKA 59

A case study of CRAO Sequel-Macular Oedema with ERM: an integrative treatment